Atrial Fibrillation Clinical Trial
Official title:
Assessment of the Clinical Efficacy of the Heart Spectrum Blood Pressure Monitor for Diagnosis of Atrial Fibrillation: An Unblinded Clinical Trial
Question: Is 12-lead electrocardiography (ECG) the most accurate and convenient diagnostic
method for atrial fibrillation (AF)? Findings: The Heart Spectrum Blood Pressure Monitor can
be used at home, and is capable of determining the occurrence of AF. Three measurement
methods were used in this study. The sensitivity, specificity, PPV, and NPV of the methods
used are between 90% and 100%, and the Heart Spectrum Blood Pressure Monitor can be
effectively applied to AF detection.
Meaning: The Heart Spectrum Blood Pressure Monitor can be used at home and can replace the
need for an in-office ECG, thereby accomplishing meaningful telecare.
Importance: Atrial fibrillation (AF) is the most common arrhythmia. The most common
diagnostic method, 12-lead ECG, can record episodes of arrhythmia from which the type and
severity can be determined. The Heart Spectrum Blood Pressure Monitor (P2, OSTAR Meditech
Corp.) is used to measure cardiovascular pressure change, with fast Fourier transform (FFT)
analysis, to obtain the heart rate frequency variability and accurate blood pressure data.
Objective: To compare the diagnostic efficacy of the Heart Spectrum Blood Pressure Monitor
with a 12-lead ECG in patients with AF. Three measurement methods were used in this study:
blood pressure, mean arterial pressure (MAP) which is calculated from individual blood
pressure as constant pressure, and a constant pressure 60 mmHg, in order to analyze the
heart index and compare it with simultaneous 12-lead ECG.
Design: The physician used a 12-lead ECG and the Heart Spectrum Blood Pressure Monitor
simultaneously. The Heart Spectrum Blood Pressure Monitor used an FFT analysis for the
diagnosis of AF; the findings were compared with the readings from the 12-lead ECG.
Setting: This unblinded clinical trial was conducted at the Emergency Room of Taipei Medical
University Hospital.
Participants: Twenty-nine subjects with AF and 33 without AF, aged 25 to 97 years (mean:
63.5 years), were included.
Intervention(s) for clinical trials Subjects who had been exposed to high frequency surgical
equipment during testing, those with cardiac pacemakers or implantable defibrillators, and
pregnant women were excluded.
Trial Registration: TMU JIRB No.: N201510061
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