Prevalence of Inter-Arm Blood Pressure Difference among Clinical Out-Patients

Sharma, Balkishan; Ramawat, Pramila

doi:10.12816/0048815

Cited by 14 publications

(13 citation statements)

References 25 publications

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“…Female participants had a higher prevalence of significant sIAD and dIAD than their male counterparts and this was significant in the dIAD. Similar to this study, some previous studies have reported a higher prevalence of significant IAD among female respondents, whereas others have failed to demonstrate this [1,11,23,[25][26][27]. The high prevalence of significant IAD among female participants in this study can be attributed to the higher proportion of female respondents in the study population and consequent higher prevalence of obesity, diabetes mellitus and hypertension among the female participants in this study may also be contributory to this finding.…”

Section: Discussionsupporting

confidence: 82%

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: 82%

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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“…Similar such distribution of diseases was found among the study population in a similar study done by Sharma et al . [ 12 ]…”

Section: Discussionmentioning

confidence: 99%

Evaluation of inter-arm difference in blood pressure as predictor of vascular diseases among urban adults in Kancheepuram District of Tamil Nadu

Gopalakrishnan

Savitha

Rama³

2018

J Family Med Prim Care

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Introduction:An “Inter-Arm Difference” (IAD) in blood pressure (BP) is defined as a variation in systolic BP of >10 mmHg. Various studies conducted in different population show that there are wide variations in the prevalence of IAD, which ranges from 5% to 46%. The aim of this study is to evaluate the prevalence of IAD in BP among adults and its association with risk factors.Methods:This community-based cross-sectional study was carried out among urban adults in Kancheepuram district. The study sample size of 1634 was calculated, and simple random sampling method was used. Data analysis was performed using SPSS software version 16. Prevalence of IAD in BP was calculated using percentages, and statistical significance was tested to look for an association.Results:This study shows that 26.2% were at moderate risk for vascular events with IAD in systolic BP of 10–15 mmHg and 17.3% were at high risk with IAD >15 mmHg. About 14.2% had diastolic BP difference of 10–15 mmHg indicative of moderate risk and 6.1% had a difference of >15 mmHg indicative of high risk for vascular events. The statistical significant association was found between IAD in systolic BP and risk factors such as hypertension, smoking, alcoholism, and between IAD in diastolic BP with overweight/obesity (P < 0.05).Conclusion:This study outcome shows that the prevalence of IAD in BP is on the higher side. Hence, specific guidelines should be brought in to practice for measuring BP in both arms to detect IAD in every health-care settings.

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“…[12] It is also found that IAD assessment has the potential to act as a simple non-invasive test, identifying those prone to cardiovascular and peripheral vascular events. [13] Until now, many IAD studies have been focused among older individuals, [14] person with diabetes, [9] hypertension [4] and among pregnant women. [15] Nonetheless, there are very limited studies done among the healthy young adults.…”

Section: Introductionmentioning

confidence: 99%

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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Prevalence of Inter-Arm Blood Pressure Difference among Clinical Out-Patients

Cited by 14 publications

References 25 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

Evaluation of inter-arm difference in blood pressure as predictor of vascular diseases among urban adults in Kancheepuram District of Tamil Nadu

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

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