Inter arm systolic blood pressure difference is associated with a high prevalence of cardio vascular diseases

Verma, Narsingh; Raju, Somesh; Kumar, Pradeep; Kumai, Rina; Bhardwaj, Kshitij

doi:10.18203/2320-6012.ijrms20160805

Cited by 4 publications

(8 citation statements)

References 10 publications

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“…The mean systolic BP and diastolic BP readings on the right arm were higher than those of the left arm and the difference was significant in the case of systolic BP. The previous reports on this subject are conflicting [9,[19][20][21][22]. Similar to this study, several studies have also reported higher BP readings in the right arm compared to the left [19][20][21].…”

Section: Discussionsupporting

confidence: 80%

“…The previous reports on this subject are conflicting [9,[19][20][21][22]. Similar to this study, several studies have also reported higher BP readings in the right arm compared to the left [19][20][21]. On the other hand, Clark and others systematically reviewed studies on IAD and found no overall evidence in favour of a higher BP on the right arm [22].…”

Section: Discussionsupporting

confidence: 69%

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Inter-Arm Blood Pressure Difference Among Nigerian Primary Care Patients— the Need for Dual Arm Blood Pressure Measurement

Ojo¹,

Fatusin²,

Fatusin³

et al. 2020

JICOA

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Background: For many decades, hypertension guidelines have recommended dual-arm blood pressure measurement. However, the practice is poor in Nigerian primary care and its significance largely unidentified. Hence, the need to determine the significance of detecting inter-arm blood pressure difference among primary care patients in our local population. This study was done to determine the point prevalence of inter-arm blood pressure difference and its relationship with hypertension and diabetes mellitus. Methods: A cross-sectional study was conducted among 214 respondents at the general outpatient clinic of a tertiary hospital in Nigeria. Demographic characteristics and anthropometric indices were obtained. Blood pressure readings were obtained through sequentially repeated measurements in respondents’ arms. Results: One hundred and eighty-six respondents had complete data given a completion rate of 86.9%. Systolic blood pressure was higher on the right and left arm in 102 (54.8%) and 56 (30.1%) of the respondents respectively. Diastolic blood pressure was higher on the right and left arm in 73 (39.2%) and 63 (33.9%) of the respondents respectively. The overall prevalence of significant systolic inter-arm difference (≥ 10 mmHg) and diastolic inter-arm difference (≥ 10 mmHg) were 24.2% and 18.8% respectively. Significant systolic inter-arm difference (p=0.033) and diastolic inter-arm difference (p=0.01) were significantly more among respondents with hypertension and/or diabetes mellitus. Conclusion: The blood pressure readings in both arms were different among majority of the respondents, being higher on the right arm in more of them. The prevalence of significant inter-arm difference was high in the unselected primary care patients studied especially among patients with hypertension and/or diabetes mellitus. Blood pressure measurement in both arms should become a routine practice during initial patients’ visits in primary care.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 69%

Inter-Arm Blood Pressure Difference Among Nigerian Primary Care Patients— the Need for Dual Arm Blood Pressure Measurement

Ojo¹,

Fatusin²,

Fatusin³

et al. 2020

JICOA

View full text Add to dashboard Cite

show abstract

“…Also, various reasons are suggested of which one suggest slight anatomical variances are present in angulations and branching of the aorta as well as hemodynamic profiles which might have reproduced the result. [19,20] Inter-arm differences ≥10 mmHg in SBP and DBP were found to be 26.5% and 17.8% of participants respectively, which is nearer to some previous studies, [13,21,22] whereas, other studies have shown prevalence values lower than this study. [12,16,19,23] This might be due to differences in study populations and methods used to measure BP.…”

Section: Discussionsupporting

confidence: 52%

Inter-arm blood pressure difference in healthy young adults: a cross-sectional study

Pun

Chaudhary

Shrestha

et al. 2020

J. Physiol, Soc. Nep.

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Introduction: Inter-arm difference (IAD) in blood pressure is the difference in the systolic and the diastolic blood pressure between arms of an individual. Studies regarding IAD among elderly, pregnant women, patients with cardiovascular disease and diabetes have been conducted but there are very limited studies carried out among young healthy adults. Thus, this study aimed to investigate the inter-arm blood pressure difference and its association with age, sex, BMI and family history of hypertension among Nepalese healthy young adults. Materials and methods: A cross-sectional study was carried out among 230 students of Kantipur Dental College, Kathmandu, Nepal. Blood pressure was measured using a mercurial sphygmomanometer. Statistical analysis was done using paired t test, chi-square and Pearson’s correlation test using SPSS 16. Results: The absolute mean IAD for SBP was 5.03±3.88 mm Hg and for DBP was 3.84±3.77 mm Hg. There is significant inter-arm difference for SBP (t=4.882, p<0.001) but not for DBP. Inter-arm SBP difference was significantly associated with family history of hypertension (χ2 = 6.41, p=0.01) and positive but weakly correlated with age (r = +0.135, p=0.04). There is no significant association of inter-arm SBP difference with sex and BMI. Meanwhile, there is no statistically significant association of sex, family history of hypertension, age and BMI with inter-arm DBP. Conclusions: There is a significant inter-arm systolic blood pressure difference among the healthy young Nepalese adults and it is associated with the positive family history of hypertension and age.

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“…respectively), and one other smaller study of 100 healthy medical students found that 29% had a systolic IAD ≥ 10 mmHg. 23,24 Both studies used a sequential manual measurement method. The lower prevalences reported in the current study are consistent with previous findings from our groups and others that observed IADs at any cut-off are less prevalent when simultaneous rather than sequential measurement methods are used, when automated devices are used in place of manual assessment, and when measures are repeated.…”

Section: Strengths and Limitations Of The Approachmentioning

confidence: 99%

Clinical relevance of double‐arm blood pressure measurement and prevalence of clinically important inter‐arm blood pressure differences in Indian primary care

Wander

McDonagh

Rao

et al. 2022

J of Clinical Hypertension

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Inter arm systolic blood pressure difference is associated with a high prevalence of cardio vascular diseases

Cited by 4 publications

References 10 publications

Inter-Arm Blood Pressure Difference Among Nigerian Primary Care Patients— the Need for Dual Arm Blood Pressure Measurement

Inter-Arm Blood Pressure Difference Among Nigerian Primary Care Patients— the Need for Dual Arm Blood Pressure Measurement

Inter-arm blood pressure difference in healthy young adults: a cross-sectional study

Clinical relevance of double‐arm blood pressure measurement and prevalence of clinically important inter‐arm blood pressure differences in Indian primary care

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