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Diagnostic Performance of Automated Blood Pressure Monitor for Detection of Atrial Fibrillation
Rasid Othman1, Ayman Suliman2, Zurkurnai Yusof2
1Internal Medicine, Hospital Universiti Sains Malaysia, Kubang Kerian, MYS.
The Rossmax X5 blood pressure monitor accurately detects atrial fibrillation (AF), an irregular heart rhythm. This device shows high sensitivity and specificity, making it a valuable tool for early AF screening in clinical settings.
Area of Science:
- Cardiology
- Medical Devices
- Diagnostic Tools
Background:
- Atrial fibrillation (AF) is a common cardiac arrhythmia.
- AF complications lead to high morbidity, mortality, and healthcare costs.
- Early detection of AF is crucial for managing patient outcomes.
Purpose of the Study:
- To evaluate the diagnostic accuracy of the Rossmax X5 automated blood pressure monitor for detecting atrial fibrillation.
- To assess the feasibility of using the Rossmax X5 as a screening tool for early AF detection.
Main Methods:
- A prospective study involving 123 patients from cardiology and INR clinics.
- Simultaneous measurement of blood pressure with Rossmax X5 and single-lead ECG.
- Confirmation of irregular rhythm using a 12-lead ECG by a cardiologist.
Main Results:
- Rossmax X5 demonstrated high accuracy (99.3%), sensitivity (100%), and specificity (98.6%) compared to a 12-lead ECG.
- Positive predictive value was 98.1% and negative predictive value was 100%.
- The device effectively identified patients with atrial fibrillation.
Conclusions:
- The Rossmax X5 automated blood pressure monitor is a highly accurate tool for AF detection.
- Its performance supports its recommendation as a clinical screening tool for early identification of atrial fibrillation.
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Equipments Used To Measure Blood Pressure
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
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Several factors...
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Assessment of blood pressure in brachial artery(two-step method)
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Measurement of Blood Pressure