Beat-to-beat blood pressure measurement in patients with atrial fibrillation: a step towards personalized managemen

Author:

Shubik V. V.1,Pivovarov V. V.2,Zaytsev G. K.2,Korneev A. B.2,Tihonenko V. M.3,Kormilitsyn A. Y.2,Gordeeva M. V.1,Berman M. V.1,Lobov G. I.4,Bondarev S. А.5,Usov A. A.6

Affiliation:

1. Scientific, clinical and educational center “Cardiology” of St.Petersburg State University; Multidisciplinarycenter “Family doctor”

2. NAO “Incart”

3. Scientific, clinical and educational center “Cardiology” of St.Petersburg State University; NAO “Incart”

4. Pavlov institute of physiology of Russian academy of science

5. St.Petersburg State Pediatric Medical University; First Moscow Medical University named after I.M. Sechenov

6. St.Petersburg State Pediatric Medical University

Abstract

Aim. Blood pressure (BP) determination in atrial fibrillation (AF) patients remains challenging due to its high inter-measurement variability. The novel methodology of precise beat-to-beat BP determination may be used to guide the hypotensive therapy selection and adjustment, but along with that provides additional opportunity for the investigation of hemodynamics in patients with chronic AF.Material and method. The study sample consisted of 60 patients with the main diagnosis of grade II-III arterial hypertension; 30 of those were on sinus rhythm and 30 had chronic non-valvular AF. In all patients HR was within the limits recommended for left ventricular ejection fraction of >40%. Beat-to-beat systolic, diastolic, and pulse BP (SBP, DBP, and PBP, respectively) assessment at each heart beat within 15 minute interval was performed with “Kardiotekhnika-SAKR” system (NAO “Incart”, St.Petersburg, Russia).

Publisher

Institute of Cardio Technics - INCART

Subject

Marketing,Organizational Behavior and Human Resource Management,Strategy and Management,Drug Discovery,Pharmaceutical Science,Pharmacology

Reference22 articles.

1. Methodological Recommendation of Ministry of Health «Atrial fibrillation and flutter in adults», 2020. Available from: http://cr.rosminzdrav.ru/#!/recomend/888. (In Russ.).

2. Kirchhof P, Benussi S, Kotecha D, et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 2016;37(38): 2893-2962. https://doi.org/10.1093/eurheartj/ehw210.

3. Hindricks G, Potpara T, Dagres N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 2020;8: ehaa612. https://doi.org/10.1093/eurheartj/ehaa612.

4. Schkolnikova MA, Shubik YuV, Shalnova SA, et al. Сardiac arrhythmias in the elderly and their association with health characteristics and mortality. Journal of Arrhythmology. 2007;(49): 5-13. (In Russ.).

5. Yakovenko TV, Shubik YuV, Kostyuk GP, Kryatova TV. Quality of life of patients with various forms of atrial fibrillation and the effect of treatment of nosogenic mental reactions on it. Journal of Arrhythmology. 2008;(51): 36-39. (In Russ.).

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