Interarm Difference in Blood Pressure: Reproducibility and Association with Peripheral Vascular Disease
The present study aimed at examining the interarm difference in blood pressure and its use as an indicator of peripheral arterial disease (PAD). Data were included from consecutive patients referred from their general practitioner to our vascular laboratory for possible PAD aged 5...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | International Journal of Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/841542 |
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| author | Jesper Mehlsen Niels Wiinberg |
| author_facet | Jesper Mehlsen Niels Wiinberg |
| author_sort | Jesper Mehlsen |
| collection | DOAJ |
| description | The present study aimed at examining the interarm difference in blood pressure and its use as an indicator of peripheral arterial disease (PAD).
Data were included from consecutive patients referred from their general practitioner to our vascular laboratory for possible PAD aged 50 years or older without known cardiac disease, renal disease, or diabetes mellitus. 824 patients (453 women) with mean age of 72 years (range: 50–101) were included. 491 patients had a diagnosis of hypertension and peripheral arterial disease (PAD) was present in 386 patients. Systolic blood pressure was 143 ± 24 mmHg and 142 ± 24 mmHg on the right and left arm, respectively (P=0.015). The interarm difference was greater in patients with hypertension (P=0.002) and PAD (P<0.0005). 443 patients were measured on two separate occasions and the interarm difference for systolic blood pressure was reproducible for differences >20 mmHg. This study confirmed the presence of a systematic but clinically insignificant difference in systolic blood pressure between arms. The interarm difference was larger in hypertension and PAD. Consistent lateralisation is present for differences ≥20 mmHg and an interarm difference >25 mmHg is a reliable indicator of PAD in the legs. |
| format | Article |
| id | doaj-art-68c7f278abc2477a91cac94472f56471 |
| institution | Kabale University |
| issn | 2090-2824 2090-2832 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Vascular Medicine |
| spelling | doaj-art-68c7f278abc2477a91cac94472f564712025-02-03T01:31:18ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322014-01-01201410.1155/2014/841542841542Interarm Difference in Blood Pressure: Reproducibility and Association with Peripheral Vascular DiseaseJesper Mehlsen0Niels Wiinberg1Coordinating Research Centre, Frederiksberg Hospital, Nordre Fasanvej 57, 2000 Frederiksberg, DenmarkDepartment of Clinical Physiology and Nuclear Medicine, Frederiksberg Hospital, Nordre Fasanvej 57, 2000 Frederiksberg, DenmarkThe present study aimed at examining the interarm difference in blood pressure and its use as an indicator of peripheral arterial disease (PAD). Data were included from consecutive patients referred from their general practitioner to our vascular laboratory for possible PAD aged 50 years or older without known cardiac disease, renal disease, or diabetes mellitus. 824 patients (453 women) with mean age of 72 years (range: 50–101) were included. 491 patients had a diagnosis of hypertension and peripheral arterial disease (PAD) was present in 386 patients. Systolic blood pressure was 143 ± 24 mmHg and 142 ± 24 mmHg on the right and left arm, respectively (P=0.015). The interarm difference was greater in patients with hypertension (P=0.002) and PAD (P<0.0005). 443 patients were measured on two separate occasions and the interarm difference for systolic blood pressure was reproducible for differences >20 mmHg. This study confirmed the presence of a systematic but clinically insignificant difference in systolic blood pressure between arms. The interarm difference was larger in hypertension and PAD. Consistent lateralisation is present for differences ≥20 mmHg and an interarm difference >25 mmHg is a reliable indicator of PAD in the legs.http://dx.doi.org/10.1155/2014/841542 |
| spellingShingle | Jesper Mehlsen Niels Wiinberg Interarm Difference in Blood Pressure: Reproducibility and Association with Peripheral Vascular Disease International Journal of Vascular Medicine |
| title | Interarm Difference in Blood Pressure: Reproducibility and Association with Peripheral Vascular Disease |
| title_full | Interarm Difference in Blood Pressure: Reproducibility and Association with Peripheral Vascular Disease |
| title_fullStr | Interarm Difference in Blood Pressure: Reproducibility and Association with Peripheral Vascular Disease |
| title_full_unstemmed | Interarm Difference in Blood Pressure: Reproducibility and Association with Peripheral Vascular Disease |
| title_short | Interarm Difference in Blood Pressure: Reproducibility and Association with Peripheral Vascular Disease |
| title_sort | interarm difference in blood pressure reproducibility and association with peripheral vascular disease |
| url | http://dx.doi.org/10.1155/2014/841542 |
| work_keys_str_mv | AT jespermehlsen interarmdifferenceinbloodpressurereproducibilityandassociationwithperipheralvasculardisease AT nielswiinberg interarmdifferenceinbloodpressurereproducibilityandassociationwithperipheralvasculardisease |