Diagnostic accuracy of an algorithm for detecting atrial fibrillation in a wrist-type pulse wave monitor

被引：14

作者：

Kabutoya, Tomoyuki ^{[1
]}

Takahashi, Shinichi ^{[2
]}

Watanabe, Tomonori ^{[1
]}

Imai, Yasushi ^{[1
]}

Uemoto, Kazuhiro ^{[2
]}

Yasui, Nobuhiko ^{[2
]}

Kario, Kazuomi ^{[1
]}

机构：

[1] Jichi Med Univ, Sch Med, Dept Med, Div Cardiovasc Med, 3311-1 Yakushiji, Shimotsuke, Tochigi 3290498, Japan

[2] A&D Co Ltd, Tokyo, Japan

来源：

JOURNAL OF CLINICAL HYPERTENSION | 2019年 / 21卷 / 09期

关键词：

atrial fibrillation; hypertension; pulse wave; CIRCADIAN VARIATION; JAPANESE PATIENTS; RISK-FACTORS; STROKE; PREVALENCE; IMPACT; ANTICOAGULATION; MANAGEMENT;

D O I：

10.1111/jch.13648

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

We evaluated the diagnostic value of atrial fibrillation (AF) measured by a wrist-type pulse wave monitor in this case-control study. Six serial pulse wave values (three in the left and three in the right wrist) were measured using a wrist-type monitor in 29 AF patients and 30 subjects with sinus rhythm. We defined "monitor AF in irregular pulse peak (IPP) 15/20/25" as follows: (a) IPP: |interval of pulse peak - the average of the interval of the pulse peak| >= the average of the interval of the pulse peak x 15/20/25%; (b) irregular heartbeat (IHB): beats of IPP >= total pulse x 20%; and (c) monitor AF: >= 4 IHBs of the six pulse wave measurements. In IPP 15, the sensitivity and specificity were 0.97 and 1.00, respectively. Pulse wave analysis by a wrist-type monitor was shown to have high sensitivity and specificity for the diagnosis of AF.

引用

页码：1393 / 1398

页数：6

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