Diagnostic Performance of Automated Blood Pressure Monitor for Detection of Atrial Fibrillation

• Published in: Curēus (Palo Alto, CA) Vol. 16; no. 1; p. e53093
• Main Authors: Othman, Rasid, Suliman, Ayman, Yusof, Zurkurnai, W Isa, W Yus Haniff
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 28.01.2024; Cureus
• Subjects: Accuracy; Automation; Blood pressure; Cardiac arrhythmia; Cardiology; Cardiovascular disease; Clinics; Comorbidity; Diabetes; Family/General Practice; Heart; Hypertension; Internal Medicine; Ischemia; Medical diagnosis; Metabolic disorders; Risk factors; Stroke; Malaysia; blood pressure monitor; atrial fibrillation; electrocardiogram; rossmax x5; heart diseases
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.53093

Background Atrial fibrillation (AF) is a type of heart disease characterized by an irregular cardiac rhythm. The complications of AF are associated with significant morbidity, mortality, and medical expenses. This emphasizes the significance of detecting AF early using a feasible device. Methods A total of 123 patients who attended cardiology and INR clinics were enrolled, with 51 of them having AF. The blood pressure of all patients was measured three times using the Rossmax X5, while a single-lead electrocardiogram (ECG) was monitored simultaneously. Following that, a 12-lead ECG was performed on all patients. A cardiologist confirmed the irregular rhythm. Results Compared to the 12-lead ECG method, Rossmax X5 has an accuracy of 99.3%, a sensitivity of 100%, and a specificity of 98.6%. The positive and negative predictive values were also significant, which were 98.1% and 100%, respectively. Conclusion The Rossmax X5 automated blood pressure monitor has a high detection accuracy for AF. Therefore, Rossmax X5 can be recommended for use in the clinical setting as a screening tool for early AF detection.