24-hour ambulatory blood pressure telemonitoring in patients at risk of atrial fibrillation: results from the TEMPLAR project

Blood pressure in atrial fibrillation and in sinus rhythm during ambulatory blood pressure monitoring: data from the TEMPLAR project

“…As compared to sinus rhythm, we observed slightly lower systolic BP and slightly higher diastolic BP values in assumed AF, rendering PP values to be dependent on rhythm in this study using intraindividual comparisons. This is in line with our previous findings comparing patients with high likelihood of AF to individuals with low likelihood of AF [ 22 ] and other studies with intraindividual comparisons [ 13 , 14 ]. However, those studies [ 13 , 14 ] did not compare averaged BP values in adjacent episodes of AF and normal rhythm during an ABPM as we did in the current study.…”

“…This is a report from the TEMPLAR project, a multicenter, observational, cross-sectional study performed in community pharmacies in Italy. Details on the study design can be found elsewhere [ 21 , 22 ]. In short, patients of either sex, referred by a general practitioner with a guideline based clinical indication for ABPM recording were eligible.…”

“…Procedures for the ABPM recordings have been reported [ 21 , 22 ]. In short, a validated oscillometric ABPM device with an algorithm incorporated to detect irregular rhythm and possible AF during BP measurement was used (Microlife WatchBP 03 AFIB, Microlife AG, Widnau, Switzerland) [ 18 – 20 , 24 – 26 ].…”

Lifetime home BP-centered approach is the core from onset to aggravation of hypertension

“…Hypertension Research is now focusing and facilitating the research on the digital hypertension [15]. In the era of COVID-19 pandemic, telemedicine using digital techniques have been widely introduced into the clinical practice [16][17][18][19]. Thus, home BP-centered approach on the home BP-based diagnosis and treatment of hypertension is the primetime.…”

New concept of pulse irregularity for the detection of atrial fibrillation during blood pressure measurement

“…As a new method for the detection of paroxysmal AF, research and development into wearable BP-monitoring devices mounted with an AF detection algorithm has been ongoing [6,7]. Omboni et al reported the frequency of AF detection in a large group of subjects over 65 years of age using an ambulatory BP-monitoring (ABPM) device equipped with an AF detection algorithm [8]. They demonstrated that subjects with a high frequency of pulse irregularity in ABPM had a lower average systolic BP and higher average diastolic BP and pulse rate (PR), increased variability in both BP and PR, and blunted reduction in nighttime sleep BP and PR.…”