Exploring the link between blood pressure variability and atrial fibrillation: current insights and future directions.


Journal

Journal of human hypertension
ISSN: 1476-5527
Titre abrégé: J Hum Hypertens
Pays: England
ID NLM: 8811625

Informations de publication

Date de publication:
18 Jul 2024
Historique:
received: 21 01 2024
accepted: 10 07 2024
revised: 30 06 2024
medline: 19 7 2024
pubmed: 19 7 2024
entrez: 18 7 2024
Statut: aheadofprint

Résumé

Atrial fibrillation (AF) is the most common heart rhythm disorder, especially in people over the age of 50, which affects more than 40 million people worldwide. Many studies have highlighted the association between hypertension with the development of AF. Blood pressure variability (BPV) is a dynamic size obtained by recording blood pressure oscillations using specific readings and at specific time intervals. A multitude of internal and external factors shape BPV while at the same time constituting a common pathogenetic pathway with the development of AF. Until recently, BPV has been applied exclusively in preclinical and clinical studies, without significant implications in clinical practice. Indeed, even from the research side, the determination of BPV is limited to patients without AF due to doubts about the accuracy of its measurement methods in patients with AF. In this review, we present the current evidence on common pathogenic pathways between BPV and AF, the reliability of quantification of BPV in patients with AF, the prognostic role of BPV in these patients, and discuss the future clinical implications of BPV in patients with AF.

Identifiants

pubmed: 39026101
doi: 10.1038/s41371-024-00936-z
pii: 10.1038/s41371-024-00936-z
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. Crown.

Références

Ushigome E, Fukui M, Hamaguchi M, Tanaka T, Atsuta H, Mogami S, et al. Factors affecting variability in home blood pressure in patients with type 2 diabetes: post hoc analysis of a cross-sectional multicenter study. J Hum Hypertens. 2014;28:594–9.
pubmed: 24500720 doi: 10.1038/jhh.2014.2
Parati G, Ochoa JE, Lombardi C, Bilo G. Assessment and management of blood-pressure variability. Nat Rev Cardiol. 2013;10:143–55.
pubmed: 23399972 doi: 10.1038/nrcardio.2013.1
Stergiou GS, Kyriakoulis KG, Kollias A. Office blood pressure measurement types: Different methodology-Different clinical conclusions. J Clin Hypertens. 2018;20:1683–5.
doi: 10.1111/jch.13420
Cremer A, Doublet J, Boulestreau R, Gaudissard J, Tzourio C, Gosse P. Short-term blood pressure variability, arterial stiffness, and cardiovascular events: results from the Bordeaux cohort. J Hypertens. 2021;39:947–51.
pubmed: 33427788 doi: 10.1097/HJH.0000000000002735
Irigoyen M-C, De Angelis K, Dos Santos F, Dartora DR, Rodrigues B, Consolim-Colombo FM. Hypertension, blood pressure variability, and target organ lesion. Curr Hypertens Rep. 2016;18:31.
pubmed: 27002717 doi: 10.1007/s11906-016-0642-9
Wang J, Shi X, Ma C, Zheng H, Xiao J, Bian H, et al. Visit-to-visit blood pressure variability is a risk factor for all-cause mortality and cardiovascular disease. J Hypertens. 2017;35:10–17.
pubmed: 27906836 doi: 10.1097/HJH.0000000000001159
de Heus RAA, Tzourio C, Lee EJL, Opozda M, Vincent AD, Anstey KJ, et al. Association between blood pressure variability with dementia and cognitive impairment: a systematic review and meta-analysis. Hypertension. 2021;78:1478–89.
pubmed: 34538105 doi: 10.1161/HYPERTENSIONAHA.121.17797
Madden JM, O’Flynn AM, Fitzgerald AP, Kearney PM. Correlation between short-term blood pressure variability and left-ventricular mass index: a meta-analysis. Hypertens Res. 2016;39:171–7.
pubmed: 26581775 doi: 10.1038/hr.2015.126
Webb AJ, Fischer U, Mehta Z, Rothwell PM. Effects of antihypertensive-drug class on interindividual variation in blood pressure and risk of stroke: a systematic review and meta-analysis. Lancet. 2010;375:906–15.
pubmed: 20226989 doi: 10.1016/S0140-6736(10)60235-8
Stevens SL, Wood S, Koshiaris C, Law K, Glasziou P, Stevens RJ, et al. Blood pressure variability and cardiovascular disease: systematic review and meta-analysis. BMJ. 2016;354:i4098.
pubmed: 27511067 pmcid: 4979357 doi: 10.1136/bmj.i4098
Tsioufis C, Konstantinidis D, Nikolakopoulos I, Vemmou E, Kalos T, Georgiopoulos G, et al. Biomarkers of atrial fibrillation in hypertension. Curr Med Chem. 2019;26:888–97.
pubmed: 28990508 doi: 10.2174/0929867324666171006155516
Schoonderwoerd BA, Van Gelder IC, Van Veldhuisen DJ, Van den Berg MP, Crijns HJGM. Electrical and structural remodeling: role in the genesis and maintenance of atrial fibrillation. Prog Cardiovasc Dis. 2005;48:153–68.
pubmed: 16271942 doi: 10.1016/j.pcad.2005.06.014
Alkhouli M, Friedman PA. Ischemic stroke risk in patients with nonvalvular atrial fibrillation: JACC review topic of the week. J Am Coll Cardiol. 2019;74:3050–65.
pubmed: 31865973 doi: 10.1016/j.jacc.2019.10.040
Lee S-R, Choi Y-J, Choi E-K, Han K-D, Lee E, Cha M-J, et al. Blood pressure variability and incidence of new-onset atrial fibrillation: a nationwide population-based study. Hypertension. 2020;75:309–15.
pubmed: 31838903 doi: 10.1161/HYPERTENSIONAHA.119.13708
Su H, Guo Z. Accuracy of non-invasive blood pressure measurement in patients with atrial fibrillation. J Hum Hypertens. 2022;36:229–34.
pubmed: 34462543 doi: 10.1038/s41371-021-00596-3
Sykes D, Dewar R, Mohanaruban K, Donovan K, Nicklason F, Thomas DM, et al. Measuring blood pressure in the elderly: does atrial fibrillation increase observer variability? BMJ. 1990;300:162–3.
pubmed: 2105795 pmcid: 1662156 doi: 10.1136/bmj.300.6718.162
Kodani E. Is atrial fibrillation a suitable target for studies on blood pressure variability? Hypertens Res. 2024. https://doi.org/10.1038/s41440-024-01638-2 .
Anastas ZM, Jimerson E, Garolis S. Comparison of noninvasive blood pressure measurements in patients with atrial fibrillation. J Cardiovasc Nurs. 2008;23:516–9.
doi: 10.1097/01.JCN.0000338935.71285.36
Vázquez-Rodríguez B, Pita-Fernández S, Regueiro-López M, García-Pedreira D, Carro-Rodriguez MJ, Pérez-Rivas G, et al. Concordance between automatic and manual recording of blood pressure depending on the absence or presence of atrial fibrillation. Am J Hypertens. 2010;23:1089–94.
pubmed: 20596036 doi: 10.1038/ajh.2010.137
Šelmytė-Besusparė A, Barysienė J, Petrikonytė D, Aidietis A, Marinskis G, Laucevičius A. Auscultatory versus oscillometric blood pressure measurement in patients with atrial fibrillation and arterial hypertension. BMC Cardiovasc Disord. 2017;17:87.
pubmed: 28335730 pmcid: 5364730 doi: 10.1186/s12872-017-0521-6
Stergiou GS, Kollias A, Destounis A, Tzamouranis D. Automated blood pressure measurement in atrial fibrillation: a systematic review and meta-analysis. J Hypertens. 2012;30:2074–82.
pubmed: 22914573 doi: 10.1097/HJH.0b013e32835850d7
Clark CE, McDonagh STJ, McManus RJ. Accuracy of automated blood pressure measurements in the presence of atrial fibrillation: systematic review and meta-analysis. J Hum Hypertens. 2019;33:352–64.
pubmed: 30631126 doi: 10.1038/s41371-018-0153-z
Pagonas N, Schmidt S, Eysel J, Compton F, Hoffmann C, Seibert F, et al. Impact of atrial fibrillation on the accuracy of oscillometric blood pressure monitoring. Hypertension. 2013;62:579–84.
pubmed: 23897073 doi: 10.1161/HYPERTENSIONAHA.113.01426
Doménech M, Berruezo A, Molina I, Mont L, Coca A. Nighttime ambulatory blood pressure is associated with atrial remodelling and neurohormonal activation in patients with idiopathic atrial fibrillation. Rev Esp Cardiol. 2013;66:458–63.
pubmed: 24776048 doi: 10.1016/j.recesp.2012.11.011
Lakhal K, Ehrmann S, Martin M, Faiz S, Réminiac F, Cinotti R, et al. Blood pressure monitoring during arrhythmia: agreement between automated brachial cuff and intra-arterial measurements. Br J Anaesth. 2015;115:540–9.
pubmed: 26385663 doi: 10.1093/bja/aev304
Xie F, Xu J, Xia L-L, Luo X, Jiang Z, Wu Y, et al. The impact of atrial fibrillation on accuracy of oscillometric blood pressure measurement: effect of ventricular rate. Hypertens Res. 2020;43:518–24.
pubmed: 31925339 doi: 10.1038/s41440-019-0386-4
Parati G, Omboni S, Palatini P, Rizzoni D, Bilo G, Valentini M, et al. Italian society of hypertension guidelines for conventional and automated blood pressure measurement in the office, at home and over 24h. High Blood Press Cardiovasc Prev. 2008;15:283–310.
pubmed: 23355131 doi: 10.2165/0151642-200815040-00008
Tong H-Y, Fan W-G, Su H. The usefulness of 24-hour blood pressure monitoring for the patients with atrial fibrillation: based on the variability of blood pressure parameters. Blood Press Monit. 2020;25:22–5.
pubmed: 31714349 doi: 10.1097/MBP.0000000000000415
Lundwall K, Kahan T, Omboni S. Blood pressure in atrial fibrillation and in sinus rhythm during ambulatory blood pressure monitoring: data from the TEMPLAR project. Hypertens Res. 2023. https://doi.org/10.1038/s41440-023-01473-x .
Giantin V, Perissinotto E, Franchin A, Baccaglini K, Attanasio F, Maselli M, et al. Ambulatory blood pressure monitoring in elderly patients with chronic atrial fibrillation: is it absolutely contraindicated or a useful tool in clinical practice and research? Hypertens Res. 2013;36:889–94.
pubmed: 23903873 doi: 10.1038/hr.2013.65
Pitzalis MV, Massari F, Forleo C, Fioretti A, Colombo R, Balducci C, et al. Respiratory systolic pressure variability during atrial fibrillation and sinus rhythm. Hypertension. 1999;34:1060–5.
pubmed: 10567182 doi: 10.1161/01.HYP.34.5.1060
Mainardi L, Corino V, Belletti S, Terranova P, Lombardi F. Low frequency component in systolic arterial pressure variability in patients with persistent atrial fibrillation. Auton Neurosc. 2009;151:147–53.
doi: 10.1016/j.autneu.2009.06.008
Dzeshka MS, Shahid F, Shantsila A, Lip GYH. Hypertension and atrial fibrillation: an intimate association of epidemiology, pathophysiology, and outcomes. Am J Hypertens. 2017;30:733–55.
pubmed: 28338788 doi: 10.1093/ajh/hpx013
Tsigkas G, Apostolos A, Despotopoulos S, Vasilagkos G, Kallergis E, Leventopoulos G, et al. Heart failure and atrial fibrillation: new concepts in pathophysiology, management, and future directions. Heart Fail Rev. 2021. https://doi.org/10.1007/s10741-021-10133-6 .
Zanutto BS, Valentinuzzi ME, Segura ET. Neural set point for the control of arterial pressure: role of the nucleus tractus solitarius. Biomed Eng Online. 2010;9:4.
pubmed: 20064256 pmcid: 3224897 doi: 10.1186/1475-925X-9-4
Mancia G, Parati G, Pomidossi G, Casadei R, Di Rienzo M, Zanchetti A. Arterial baroreflexes and blood pressure and heart rate variabilities in humans. Hypertension. 1986;8:147–53.
pubmed: 3080371 doi: 10.1161/01.HYP.8.2.147
Hesse C, Charkoudian N, Liu Z, Joyner MJ, Eisenach JH. Baroreflex sensitivity inversely correlates with ambulatory blood pressure in healthy normotensive humans. Hypertension. 2007;50:41–6.
pubmed: 17502489 doi: 10.1161/HYPERTENSIONAHA.107.090308
Coleman TG, Guyton AC, Cowley AWJ, Bower JD, Norman RAJ, Manning RDJ. Feedback mechanisms of arterial pressure control. Contrib Nephrol. 1977;8:5–12.
pubmed: 891217 doi: 10.1159/000400607
MCCUBBIN JW, GREEN JH, PAGE IH. Baroceptor function in chronic renal hypertension. Circ Res. 1956;4:205–10.
pubmed: 13293821 doi: 10.1161/01.RES.4.2.205
Lohmeier TE. The sympathetic nervous system and long-term blood pressure regulation. Am J Hypertens. 2001;14:147S–154S.
pubmed: 11411750 doi: 10.1016/S0895-7061(01)02082-9
Hunt BE, Fahy L, Farquhar WB, Taylor JA. Quantification of mechanical and neural components of vagal baroreflex in humans. Hypertension. 2001;37:1362–8.
pubmed: 11408378 doi: 10.1161/01.HYP.37.6.1362
Miyoshi M, Kondo H, Ishii Y, Shinohara T, Yonezu K, Harada T, et al. Baroreflex sensitivity in patients with atrial fibrillation. J Am Heart Assoc. 2020;9:e018019.
pubmed: 33263265 pmcid: 7955376 doi: 10.1161/JAHA.120.018019
Kondo H, Shinohara T, Fukui A, Miyoshi M, Ishii Y, Otsubo T, et al. Possible role of baroreflex sensitivity in patients with paroxysmal atrial fibrillation. JACC Clin Electrophysiol. 2019;5:523–5.
pubmed: 31000109 doi: 10.1016/j.jacep.2019.01.009
Kiedrowicz RM, Wielusinski M, Zakrzewski M, Kazmierczak J. Does a vagal response indicate cardiac autonomic modulation and improve the therapeutic effect of pulmonary vein isolation in patients with paroxysmal atrial fibrillation? Insights from cryoballoon ablation. J Cardiovasc Dev Dis. 2022;9:142.
pubmed: 35621853 pmcid: 9148006
Sohns C, Marrouche NF. Atrial fibrillation and cardiac fibrosis. Eur Heart J. 2020;41:1123–31.
pubmed: 31713590 doi: 10.1093/eurheartj/ehz786
Chapleau MW, Cunningham JT, Sullivan MJ, Wachtel RE, Abboud FM. Structural versus functional modulation of the arterial baroreflex. Hypertension. 1995;26:341–7.
pubmed: 7543454 doi: 10.1161/01.HYP.26.2.341
Sega R, Corrao G, Bombelli M, Beltrame L, Facchetti R, Grassi G, et al. Blood pressure variability and organ damage in a general population: results from the PAMELA study (Pressioni Arteriose Monitorate E Loro Associazioni). Hypertension. 2002;39:710–4.
pubmed: 11882636 doi: 10.1161/hy0202.104376
Roman MJ, Pickering TG, Schwartz JE, Pini R, Devereux RB. Relation of blood pressure variability to carotid atherosclerosis and carotid artery and left ventricular hypertrophy. Arterioscler Thromb Vasc Biol. 2001;21:1507–11.
pubmed: 11557680 doi: 10.1161/hq0901.095149
Zhang Y, Agnoletti D, Blacher J, Safar ME. Blood pressure variability in relation to autonomic nervous system dysregulation: the X-CELLENT study. Hypertens Res. 2012;35:399–403.
pubmed: 22129516 doi: 10.1038/hr.2011.203
Linz D, Elliott AD, Hohl M, Malik V, Schotten U, Dobrev D, et al. Role of autonomic nervous system in atrial fibrillation. Int J Cardiol. 2019;287:181–8.
pubmed: 30497894 doi: 10.1016/j.ijcard.2018.11.091
Leventopoulos G, Koros R, Travlos C, Perperis A, Chronopoulos P, Tsoni E, et al. Mechanisms of atrial fibrillation: how our knowledge affects clinical practice. Life. 2023;13. https://doi.org/10.3390/life13061260 .
Park J-S, Shin J-H, Park J-B, Choi D-J, Youn H-J, Park C-G, et al. Relationship between arterial stiffness and variability of home blood pressure monitoring. Medicine. 2020;99:e21227.
pubmed: 32791697 pmcid: 7387033 doi: 10.1097/MD.0000000000021227
Cremer A, Lainé M, Papaioannou G, Yeim S, Gosse P. Increased arterial stiffness is an independent predictor of atrial fibrillation in hypertensive patients. J Hypertens. 2015;33:2150–5.
pubmed: 26431194 doi: 10.1097/HJH.0000000000000652
Tsiachris D, Tsioufis C, Dimitriadis K, Kokkinos P, Faselis C, Tousoulis D, et al. Relationship of ambulatory arterial stiffness index with blood pressure response to exercise in the early stages of hypertension. Blood Press Monit. 2010;15:132–8.
pubmed: 20216408 doi: 10.1097/MBP.0b013e328337cf02
Kalaycioglu E, Gokdeniz T, Aykan AC, Hatem E, Gursoy OM, Cavusoglu G, et al. Ambulatory arterial stiffness index is associated with impaired left atrial mechanical functions in hypertensive diabetic patients: a speckle tracking study. Anatol J Cardiol. 2015;15:807–13.
pubmed: 25592109 pmcid: 5336966 doi: 10.5152/akd.2014.5796
Shimbo D, Shea S, McClelland RL, Viera AJ, Mann D, Newman J, et al. Associations of aortic distensibility and arterial elasticity with long-term visit-to-visit blood pressure variability: the Multi-Ethnic Study of Atherosclerosis (MESA). Am J Hypertens. 2013;26:896–902.
pubmed: 23537891 pmcid: 3693480 doi: 10.1093/ajh/hpt040
Maceira AM, Mohiaddin RH. Cardiovascular magnetic resonance in systemic hypertension. J Cardiovasc Magn Reson. 2012;14:28.
pubmed: 22559053 pmcid: 3372443 doi: 10.1186/1532-429X-14-28
Oliver W, Matthews G, Ayers CR, Garg S, Gupta S, Neeland IJ, et al. Factors associated with left atrial remodeling in the general population. Circ Cardiovasc Imaging. 2017;10. https://doi.org/10.1161/CIRCIMAGING.116.005047 .
Cipollini F, Arcangeli E, Seghieri G. Left atrial dimension is related to blood pressure variability in newly diagnosed untreated hypertensive patients. Hypertens Res. 2016;39:583–7.
pubmed: 27009578 doi: 10.1038/hr.2016.29
Tadic M, Cuspidi C, Ilic I, Suzic-Lazić J, Zivanovic V, Jozika L, et al. The relationship between blood pressure variability, obesity and left atrial phasic function in hypertensive population. Int J Cardiovasc Imaging. 2016;32:603–12.
pubmed: 26662267 doi: 10.1007/s10554-015-0822-8
Norioka N, Iwata S, Ito A, Tamura S, Kawai Y, Nonin S, et al. Greater nighttime blood pressure variability is associated with left atrial enlargement in atrial fibrillation patients with preserved ejection fraction. Hypertens Res. 2018;41:614–21.
pubmed: 29899365 doi: 10.1038/s41440-018-0060-2
Murat S, Velipasaoglu M, Murat B, Al A, Cicek S, Cavusoglu Y. Left atrial structure and function: association with blood pressure variability in pregnant women. Blood Press Monit. 2023;28:42–6.
pubmed: 36606478 doi: 10.1097/MBP.0000000000000626
Cioffi G, Faggiano P, Vizzardi E, Tarantini L, Cramariuc D, Gerdts E, et al. Prognostic effect of inappropriately high left ventricular mass in asymptomatic severe aortic stenosis. Heart. 2011;97:301–7.
pubmed: 20720251 doi: 10.1136/hrt.2010.192997
Kudo H, Kai H, Kajimoto H, Koga M, Takayama N, Mori T, et al. Exaggerated blood pressure variability superimposed on hypertension aggravates cardiac remodeling in rats via angiotensin II system-mediated chronic inflammation. Hypertension. 2009;54:832–8.
pubmed: 19704105 doi: 10.1161/HYPERTENSIONAHA.109.135905
Jehn M, Appel LJ, Sacks FM, Miller ER 3rd. The effect of ambient temperature and barometric pressure on ambulatory blood pressure variability. Am J Hypertens. 2002;15:941–5.
pubmed: 12441212 doi: 10.1016/S0895-7061(02)02999-0
Hintsala HE, Kiviniemi AM, Antikainen R, Mäntysaari M, Jokelainen J, Hassi J, et al. High home blood pressure variability associates with exaggerated blood pressure response to cold stress. Am J Hypertens. 2019;32:538–46.
pubmed: 30984970 doi: 10.1093/ajh/hpz011
Comelli I, Ferro J, Lippi G, Comelli D, Sartori E, Cervellin G. Incidence of acute-onset atrial fibrillation correlates with air temperature. Results of a nine-year survey. J Epidemiol Glob Health. 2014;4:151–7.
pubmed: 25107650 pmcid: 7333820 doi: 10.1016/j.jegh.2013.12.003
Severino P, Mariani MV, Maraone A, Piro A, Ceccacci A, Tarsitani L, et al. Triggers for atrial fibrillation: the role of anxiety. Cardiol Res Pract. 2019;2019:1–5.
Dewland TA, Vittinghoff E, Harris TB, Magnani JW, Liu Y, Hsu F-C, et al. Inflammation as a mediator of the association between race and atrial fibrillation. JACC Clin Electrophysiol. 2015;1:248–55.
pubmed: 26501131 pmcid: 4613757 doi: 10.1016/j.jacep.2015.04.014
Takahashi N, Kume O, Wakisaka O, Fukunaga N, Teshima Y, Hara M, et al. Novel strategy to prevent atrial fibrosis and fibrillation. Circ J. 2012;76:2318–26.
pubmed: 22972366 doi: 10.1253/circj.CJ-12-1099
Alqaqa A. Anxiety and atrial fibrillation: an interesting bidirectional association. Current Trends Cardiol. 2017;01. https://doi.org/10.35841/cardiology.1.1.15-18 .
Murck H, Held K, Ziegenbein M, Künzel H, Koch K, Steiger A. The renin-angiotensin-aldosterone system in patients with depression compared to controls – a sleep endocrine study. BMC Psychiatry. 2003;3:15.
pubmed: 14585110 pmcid: 280657 doi: 10.1186/1471-244X-3-15
Parati G, Bilo G, Kollias A, Pengo M, Ochoa JE, Castiglioni P, et al. Blood pressure variability: methodological aspects, clinical relevance and practical indications for management - a European Society of Hypertension position paper ∗. J Hypertens. 2023;41:527–44.
pubmed: 36723481 doi: 10.1097/HJH.0000000000003363
Esler M, Eikelis N, Schlaich M, Lambert G, Alvarenga M, Kaye D, et al. Human sympathetic nerve biology. Ann N Y Acad Sci. 2008;1148:338–48.
pubmed: 19120127 doi: 10.1196/annals.1410.064
Rajendran P, Rengarajan T, Thangavel J, Nishigaki Y, Sakthisekaran D, Sethi G, et al. The vascular endothelium and human diseases. Int J Biol Sci. 2013;9:1057–69.
pubmed: 24250251 pmcid: 3831119 doi: 10.7150/ijbs.7502
Farah VMA, Joaquim LF, Bernatova I, Morris M. Acute and chronic stress influence blood pressure variability in mice. Physiol Behav. 2004;83:135–42.
pubmed: 15501500 doi: 10.1016/S0031-9384(04)00330-0
Lin Y-P, Fan C-H, Tsai K-Z, Lin K-H, Han C-L, Lin G-M. Psychological stress and long-term blood pressure variability of military young males: the cardiorespiratory fitness and hospitalization events in armed forces study. World J Cardiol. 2020;12:626–33.
pubmed: 33391615 pmcid: 7754384 doi: 10.4330/wjc.v12.i12.626
Proietti M, Romiti GF, Olshansky B, Lip GYH. Systolic blood pressure visit-to-visit variability and major adverse outcomes in atrial fibrillation: the AFFIRM study (Atrial Fibrillation Follow-Up Investigation of Rhythm Management). Hypertension. 2017;70:949–58.
pubmed: 28974568 doi: 10.1161/HYPERTENSIONAHA.117.10106
Kim M, Cho MS, Nam G-B, Do U, Kim J, Choi K-J. Controlled level and variability of systolic blood pressure on the risk of thromboembolic events in atrial fibrillation and hypertension. Am J Cardiol. 2022;180:37–43.
pubmed: 35934564 doi: 10.1016/j.amjcard.2022.06.036
Tsigkas G, Apostolos A, Despotopoulos S, Vasilagkos G, Papageorgiou A, Kallergis E, et al. Anticoagulation for atrial fibrillation in heart failure patients: balancing between Scylla and Charybdis. J Geriatr Cardiol. 2021;18:352–61.
pubmed: 34149824 pmcid: 8185440
Kronish IM, Lynch AI, Oparil S, Whittle J, Davis BR, Simpson LM, et al. The association between antihypertensive medication nonadherence and visit-to-visit variability of blood pressure: findings from the antihypertensive and lipid-lowering treatment to prevent heart attack trial. Hypertension. 2016;68:39–45.
pubmed: 27217410 doi: 10.1161/HYPERTENSIONAHA.115.06960
Kodani E, Inoue H, Atarashi H, Okumura K, Yamashita T, Otsuka T, et al. Impact of blood pressure visit-to-visit variability on adverse events in patients with nonvalvular atrial fibrillation: subanalysis of the J-RHYTHM registry. J Am Heart Assoc. 2021;10:e018585.
pubmed: 33372541 doi: 10.1161/JAHA.120.018585
Chichareon P, Methavigul K, Lip GYH, Krittayaphong R. Systolic blood pressure visit-to-visit variability and outcomes in Asian patients with atrial fibrillation. Hypertens Res. 2024. https://doi.org/10.1038/s41440-024-01592-z
doi: 10.1038/s41440-024-01592-z pubmed: 38438726
Olbers J, Gille A, Ljungman P, Rosenqvist M, Östergren J, Witt N. High beat-to-beat blood pressure variability in atrial fibrillation compared to sinus rhythm. Blood Press. 2018;27:249–55.
pubmed: 29415571 doi: 10.1080/08037051.2018.1436400
Webb AJS, Rothwell PM. Blood pressure variability and risk of new-onset atrial fibrillation: a systematic review of randomized trials of antihypertensive drugs. Stroke. 2010;41:2091–3.
pubmed: 20651263 doi: 10.1161/STROKEAHA.110.589531
Mehlum MH, Liestøl K, Wyller TB, Hua TA, Rostrup M, Berge E. Blood pressure variability in hypertensive patients with atrial fibrillation in the VALUE trial. Blood Press. 2019;28:77–83.
pubmed: 30614275 doi: 10.1080/08037051.2018.1524707
Wang C, Sun Y, Xin Q, Han X, Cai Z, Zhao M, et al. Visit-to-visit SBP variability and risk of atrial fibrillation in middle-aged and older populations. J Hypertens. 2022;40:2521–7.
pubmed: 36214547 pmcid: 9640287 doi: 10.1097/HJH.0000000000003291
Lee S-R, Choi E-K, Han K-D, Lee S-H, Oh S. Effect of the variability of blood pressure, glucose level, total cholesterol level, and body mass index on the risk of atrial fibrillation in a healthy population. Heart Rhythm. 2020;17:12–19.
pubmed: 31299298 doi: 10.1016/j.hrthm.2019.07.006
Kaze AD, Yuyun MF, Fonarow GC, Echouffo-Tcheugui JB. Blood pressure variability and risk of atrial fibrillation in adults with type 2 diabetes. JACC Adv. 2023;2. https://doi.org/10.1016/j.jacadv.2023.100382 .
Maezono A, Sakata S, Hata J, Oishi E, Furuta Y, Shibata M, et al. Day-to-day home blood pressure variability and risk of atrial fibrillation in a general Japanese population: the Hisayama Study. Eur J Prev Cardiol. 2024. https://doi.org/10.1093/eurjpc/zwae035 .
Mahfouz RA, El-Shetry M, Frere A, Safwat M. Blood pressure variability and atrial fibrillation in patients with acute ST segment elevation myocardial infarction: the relation with left atrial electromechanical delay - a 1-year follow-up study. Pulse. 2020;8:57–65.
pubmed: 32999879 pmcid: 7506217 doi: 10.1159/000507792
Kamioka M, Kaneshiro T, Hijioka N, Amami K, Nodera M, Yamada S, et al. Visit-to-visit blood pressure variability predicts atrial fibrillation recurrence after pulmonary vein isolation in patients with hypertension and atrial fibrillation. Circ Rep. 2021;3:187–93.
pubmed: 33842723 pmcid: 8024017 doi: 10.1253/circrep.CR-21-0014
Sheikh AB, Sobotka PA, Garg I, Dunn JP, Minhas AMK, Shandhi MMH, et al. Blood pressure variability in clinical practice: past, present and the future. J Am Heart Assoc. 2023;12:e029297.
pubmed: 37119077 pmcid: 10227216 doi: 10.1161/JAHA.122.029297
Di Cori A, Parollo M, Fiorentini F, Della Volpe S, Mazzocchetti L, Barletta V, et al. Feasibility and accuracy of noninvasive continuous arterial pressure monitoring during transcatheter atrial fibrillation ablation. J Clin Med. 2023;12. https://doi.org/10.3390/jcm12062388 .
Han M, Lee Y-R, Park T, Ihm S-H, Pyun WB, Burkard T, et al. Feasibility and measurement stability of smartwatch-based cuffless blood pressure monitoring: a real-world prospective observational study. Hypertens Res. 2023;46:922–31.
pubmed: 36781979 doi: 10.1038/s41440-023-01215-z
Huang P-H, Huang C-C, Lin S-J, Chen J-W. Prediction of atrial fibrillation in patients with hypertension: A comprehensive comparison of office and ambulatory blood pressure measurements. J Clin Hypertens. 2022;24:838–47.
doi: 10.1111/jch.14524
Omboni S, Kario K, Bakris G, Parati G. Effect of antihypertensive treatment on 24-h blood pressure variability. J Hypertens. 2018;36:720–33.
pubmed: 29045341 doi: 10.1097/HJH.0000000000001608
Visco V, Izzo C, Mancusi C, Rispoli A, Tedeschi M, Virtuoso N, et al. Artificial intelligence in hypertension management: an ace up your sleeve. J Cardiovasc Dev Dis. 2023;10. https://doi.org/10.3390/jcdd10020074 .
Veloudi P, Sharman JE. Methodological factors affecting quantification of blood pressure variability: a scoping review. J Hypertens. 2018;36:711–9.
pubmed: 29176390 doi: 10.1097/HJH.0000000000001606

Auteurs

Konstantinos Konstantinou (K)

Department of Cardiology, Royal Brompton and Harefield Hospitals, Guy's & St Thomas' NHS Foundation Trust, London, UK. kostiskon@gmail.com.
First Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Hippokration General Hospital, Athens, Greece. kostiskon@gmail.com.

Anastasios Apostolos (A)

First Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Hippokration General Hospital, Athens, Greece.

Dimitrios Tsiachris (D)

First Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Hippokration General Hospital, Athens, Greece.

Kyriakos Dimitriadis (K)

First Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Hippokration General Hospital, Athens, Greece.

Panteleimon E Papakonstantinou (PE)

First Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Hippokration General Hospital, Athens, Greece.

Konstantinos Pappelis (K)

Second Department of Ophthalmology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece.

Vasileios Panoulas (V)

Department of Cardiology, Royal Brompton and Harefield Hospitals, Guy's & St Thomas' NHS Foundation Trust, London, UK.

Konstantinos Tsioufis (K)

First Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Hippokration General Hospital, Athens, Greece.

Classifications MeSH