Home Monitoring for the Detection of Subclinical Atrial Fibrillation in Hypertensive Patients at Moderate to High Risk of Developing Arrhythmia. BP/AF MODE Study.
Objective: to determine the usefulness of home blood pressure and heart rhythm monitoring strategy in the detection of subclinical atrial fibrillation.
Methods: observational, cohort, prospective, multicenter study involving 25 researchers from six Latin American countries. Home blood pressure monitoring and single-lead electrocardiogram recording were performed in a population at moderate to high risk of developing atrial fibrillation. A minimum of twenty 30-second electrocardiographic and blood pressure recordings over 7 days using an Omron Complete Hem-7530 T ECG device will be uploaded from a mobile phone app and then sent to a database for analysis.
Conclusions: the results of this study can provide a simple and accessible home monitoring system for detecting subclinical atrial fibrillation and for optimizing the predictive capacity of arrhythmia risk scores through deep learning.
• 1\. Hypertensive patients of both sexes over 75 years of age. 2. Hypertensive patients between 65 and 75 years of age are associated with one of the following risk factors:
‣ Obesity
⁃ Type 2 diabetes
⁃ Obstructive sleep apnea syndrome
⁃ Electrocardiogram showing left ventricular hypertrophy.
⁃ Left ventricular hypertrophy on echocardiogram.
⁃ Left atrial dilation.
⁃ Coronary artery disease
⁃ Chronic kidney disease
⁃ Heart failure with ejection fraction \> 50%
‣ Alcohol intake
‣ Frequent supraventricular ectopic beats