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Inter arm blood pressure difference

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https://www.readbyqxmd.com/read/29124943/simultaneous-inter-arm-and-inter-leg-systolic-blood-pressure-differences-to-diagnose-peripheral-artery-disease-a-diagnostic-accuracy-study
#1
Ángel Herráiz-Adillo, Alba Soriano-Cano, José Alberto Martínez-Hortelano, Miriam Garrido-Miguel, Julián Ángel Mariana-Herráiz, Vicente Martínez-Vizcaíno, Blanca Notario-Pacheco
PURPOSE: Inter-arm systolic blood pressure differences (IASBPD) and inter-leg systolic blood pressure differences (ILSBPD) have arisen as potential tools to detect peripheral artery disease (PAD) and individuals at high cardiovascular risk. This study aims to evaluate the diagnostic accuracy of IASBPD and ILSBPD to detect PAD, and whether IASBPD or ILSBPD improves diagnostic accuracy of the oscillometric ankle-brachial index (ABI). MATERIALS AND METHODS: In this prospective study, eligible for inclusion were consecutive adults, with at least one of the following cardiovascular risk factors: diabetes, dyslipidemia, hypertension, smoking habit or age ≥65...
November 10, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28830651/development-and-validation-of-optimal-cut-off-value-in-inter-arm-systolic-blood-pressure-difference-for-prediction-of-cardiovascular-events
#2
Akira Hirono, Kenya Kusunose, Norihito Kageyama, Masayuki Sumitomo, Masahiro Abe, Hiroyuki Fujinaga, Masataka Sata
BACKGROUND: An inter-arm systolic blood pressure difference (IAD) is associated with cardiovascular disease. The aim of this study was to develop and validate the optimal cut-off value of IAD as a predictor of major adverse cardiac events in patients with arteriosclerosis risk factors. METHODS: From 2009 to 2014, 1076 patients who had at least one cardiovascular risk factor were included in the analysis. We defined 700 randomly selected patients as a development cohort to confirm that IAD was the predictor of cardiovascular events and to determine optimal cut-off value of IAD...
August 19, 2017: Journal of Cardiology
https://www.readbyqxmd.com/read/28792138/association-of-inter-arm-systolic-blood-pressure-difference-with-coronary-atherosclerotic-disease-burden-using-calcium-scoring
#3
Ae Young Her, Kyoung Im Cho, Scot Garg, Yong Hoon Kim, Eun Seok Shin
PURPOSE: There are no sufficient data on the correlation between inter-arm blood pressure (BP) difference and coronary atherosclerosis found using coronary artery calcium score (CACS). We aimed to investigate if the increased difference in inter-arm BP is independently associated with severity of CACS. MATERIALS AND METHODS: Patients who had ≥3 cardiovascular risk factors or an intermediate Framingham Risk Score (FRS; ≥10) were enrolled. Inter-arm BP difference was defined as the absolute difference in BP in both arms...
September 2017: Yonsei Medical Journal
https://www.readbyqxmd.com/read/28706000/absence-of-compensatory-vasodilation-with-perfusion-pressure-challenge-in-exercise-evidence-for-and-implications-of-the-non-compensator-phenotype
#4
Robert F Bentley, Jeremy J Walsh, Patrick J Drouin, Aleksandra Velickovic, Sarah J Kitner, Alyssa M Fenuta, Michael E Tschakovsky
Compromising oxygen delivery (O2D) during exercise requires compensatory vasodilatory and/or pressor responses to protect O2D : demand matching. The purpose of the study was to determine whether compensatory vasodilation is absent in some healthy, young individuals in the face of a sudden reduction in exercising forearm perfusion pressure, and whether this affects the exercise pressor response. 21 healthy, young males (21.6±2.0yrs) completed rhythmic forearm exercise at a work rate equivalent to 70% of their own maximal exercise vasodilation...
July 13, 2017: Journal of Applied Physiology
https://www.readbyqxmd.com/read/28645074/relationship-between-inter-arm-blood-pressure-difference-and-severity-of-coronary-atherosclerosis
#5
Se-Jun Park, Jung-Woo Son, Sang-Min Park, Hyun-Hee Choi, Kyung-Soon Hong
BACKGROUND AND AIMS: A greater inter-arm blood pressure difference (IABPD) is associated with atherosclerosis, but its association with coronary artery disease is unknown. We investigated the relationship between IABPD and coronary atherosclerosis. METHODS: We retrospectively reviewed blood pressure (BP) data that was measured simultaneously in both arms of patients who underwent initial coronary angiography. Coronary atherosclerosis was assessed using the Gensini score, based on quantitative coronary angiography findings...
June 9, 2017: Atherosclerosis
https://www.readbyqxmd.com/read/28641891/inter-arm-systolic-blood-pressure-differences-relations-with-future-vascular-events-and-mortality-in-patients-with-and-without-manifest-vascular-disease
#6
Guido Kranenburg, Wilko Spiering, Pim A de Jong, L Jaap Kappelle, Gert Jan de Borst, Maarten J Cramer, Frank L J Visseren, Victor Aboyans, Jan Westerink
BACKGROUND: Inter-arm systolic blood pressure difference (SBPD) is an easily obtained patient characteristic which relates to vascular disease. We aimed to identify determinants of large inter-arm SBPD and to investigate the relation between inter-arm SBPD and vascular events in patients with and without manifest vascular disease. METHODS: In a cohort of 7344 patients with manifest vascular disease or vascular risk factors alone enrolled in the Second Manifestations of ARTerial disease (SMART) study, single bilateral non-simultaneous blood pressure measurements were performed...
June 13, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28554696/-hypertension-during-takayasu-s-disease-an-algerian-single-center-experience-of-279-patients
#7
A Mammeri, R Guermaz, A Hatri, F Kessal, S Taharboucht, F Hamrour, M Ammi, S Zekri, M Brouri
INTRODUCTION: Takayasu arteritis (TA) is an uncommon large vessel arteritis. Lesions produced by the inflammatory process can be stenotic, occlusive, or aneurysmal. Vascular changes lead to the main complications, including hypertension, most often due to renal artery stenosis or, more rarely, stenosis of the suprarenal aorta. AIM OF STUDY: Our study will assess the prevalence of hypertension during TA and describe its clinical profile. MATERIAL AND METHODS: Among 279 patients with TA resulting from single center study over a period of 35 years, we collected 128 hypertensive patients...
June 2017: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/28381701/non-invasive-assessment-of-early-atherosclerosis-based-on-new-arterial-stiffness-indices-measured-with-an-upper-arm-oscillometric-device
#8
Yaping Zhang, Ping Yin, Zuojun Xu, Yushui Xie, Changqian Wang, Yuqi Fan, Fuyou Liang, Zhaofang Yin
The clinical significance of detecting early atherosclerosis is now widely recognized. Measurement methods available at present are usually not suitable for use in primary care where rapid screening for a large population is needed. The Arterial Velocity-pulse Index (AVI) and Arterial Pressure-volume Index (API) are new noninvasive arterial stiffness indices that can be rapidly measured using an oscillometric device. The purpose of this study was to determine whether high AVI and API values are predictive of early atherosclerosis prior to the onset of obstructive coronary artery disease (CAD)...
April 2017: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/28155695/association-of-simultaneously-measured-four-limb-blood-pressures-with-cardiovascular-function-a-cross-sectional-study
#9
Xiaorui Song, Gaoyang Li, Aike Qiao, Zhihui Chen
BACKGROUND: Simultaneous measurement of four-limb blood pressures can improve the accuracy of cardiovascular disease diagnosis. This study aims to investigate the association of simultaneously measured four-limb blood pressures with cardiovascular function as the non-invasive diagnostic method of cardiovascular disease in primary care. METHODS: 229 subjects (62 males, mean age, 63.50 ± 11.13 years; 167 females, mean age, 59.47 ± 7.33 years) were enrolled...
December 28, 2016: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28124684/a-novel-cuffless-device-for-self-measurement-of-blood-pressure-concept-performance-and-clinical-validation
#10
N Boubouchairopoulou, A Kollias, B Chiu, B Chen, S Lagou, P Anestis, G S Stergiou
A pocket-size cuffless electronic device for self-measurement of blood pressure (BP) has been developed (Freescan, Maisense Inc., Zhubei, Taiwan). The device estimates BP within 10 s using three embedded electrodes and one force sensor that is applied over the radial pulse to evaluate the pulse wave. Before use, basic anthropometric characteristics are recorded on the device, and individualized initial calibration is required based on a standard BP measurement performed using an upper-arm BP monitor. The device performance in providing valid BP readings was evaluated in 313 normotensive and hypertensive adults in three study phases during which the device sensor was upgraded...
July 2017: Journal of Human Hypertension
https://www.readbyqxmd.com/read/28057413/upper-extremity-blood-pressure-difference-in-patients-undergoing-carotid-revascularisation
#11
A Huibers, J Hendrikse, M M Brown, S A Pegge, M Arnold, F L Moll, L J Kapelle, G J de Borst
INTRODUCTION: Blood pressure (BP) regulation is important in patients with carotid artery atherosclerotic disease. Concomitant subclavian artery stenosis (SAS) might lead to an underestimation of the true systemic BP in the monitoring of these patients. This study aimed to assess the prevalence of the inter-arm BP difference in patients undergoing carotid intervention and its association with ipsilateral significant subclavian stenosis and clinical outcome. METHODS: Bilateral BP measurements and vascular imaging (CTA and MRA) of both subclavian arteries and the innominate artery were assessed in 182 symptomatic patients with carotid artery stenosis undergoing revascularisation in the International Carotid Stenting Study (ICSS)...
February 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28042082/beetroot-juice-versus-chard-gel-a-pharmacokinetic-and-pharmacodynamic-comparison-of-nitrate-bioavailability
#12
Luke C McIlvenna, Chris Monaghan, Luke Liddle, Bernadette O Fernandez, Martin Feelisch, David J Muggeridge, Chris Easton
Dietary supplementation with inorganic nitrate (NO3(-)) has been shown to induce a multitude of advantageous cardiovascular and metabolic responses during rest and exercise. While there is some suggestion that pharmacokinetics may differ depending on the NO3(-) source ingested, to the best of our knowledge this has yet to be determined experimentally. Here, we compare the plasma pharmacokinetics of NO3(-), nitrite (NO2(-)), and total nitroso species (RXNO) following oral ingestion of either NO3(-) rich beetroot juice (BR) or chard gels (GEL) with the associated changes in blood pressure (BP)...
April 1, 2017: Nitric Oxide: Biology and Chemistry
https://www.readbyqxmd.com/read/28003649/between-visit-reproducibility-of-inter-arm-systolic-blood-pressure-differences-in-treated-hypertensive-patients-the-coconet-study
#13
Jang Young Kim, Eung Ju Kim, June Namgung, Byung-Ryul Cho, Chang-Wook Nam, Young-Kwon Kim, Jeong Bae Park
Inter-arm systolic blood pressure (BP) differences (sIADs) have recently been recognized as a risk factor for cardiovascular mortality. However, sIAD reproducibility remains unresolved from a controlled trial perspective. We evaluated the between-visit reproducibility of sIADs in hypertensive patients. We examined 1875 hypertensive participants aged 20 years and older (mean age: 62.3 years, 45.4% female) from nine primary clinics and 27 secondary and tertiary hospitals. The BPs in both arms were automatically and simultaneously measured in triplicate with a cuff-oscillometric BP device...
May 2017: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://www.readbyqxmd.com/read/27789511/prevalence-of-systolic-inter-arm-differences-in-blood-pressure-for-different-primary-care-populations-systematic-review-and-meta-analysis
#14
REVIEW
Christopher E Clark, Rod S Taylor, Angela C Shore, John L Campbell
BACKGROUND: Various prevalence figures have been reported for inter-arm differences in blood pressure (IAD); variation may be explained by differing population vascular risk and by measurement method. AIM: To review the literature to derive robust estimates of IAD prevalence relevant to community populations. DESIGN AND SETTING: Systematic review and meta-analysis. METHOD: MEDLINE, Embase, and CINAHL were searched for cross-sectional studies likely to represent general or primary care populations, reporting prevalence of IAD and employing a simultaneous method of measurement...
November 2016: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/27754213/os-31-05-the-importance-of-inter-individual-blood-pressure-variability-on-the-incidence-of-recurrent-stroke-a-post-hoc-analysis-of-ascot-and-allhat
#15
Sun Uck Kwon, Dalia Wajsbrot, Bum Joon Kim, Ja-Seong Koo, Jong Moo Park, Barrett Jeffers
OBJECTIVE: To evaluate differences in blood pressure variability (BPV) between patients who experience a recurrent (secondary) stroke or transient ischemic attack (TIA) compared with patients who do not have recurrent stroke. DESIGN AND METHOD: Data were extracted from the ALLHAT and ASCOT-BPLA databases. BPV was defined as the within-subject standard deviation of systolic BP measurements across visits from 12-weeks (or 3-months [84 days]) onwards. BPV was analyzed using a generalized linear model with terms for treatment, prior stroke, interaction between treatment group and prior stroke, and baseline systolic BP...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27754035/os-13-01-brachial-and-calculated-aortic-blood-pressure-differences-when-measured-from-the-dominant-and-non-dominant-arm
#16
Mitchell Cook, Davis Theobald, Alberto Avolio, Karen Peebles, Mark Butlin
OBJECTIVE: Inter-arm systolic blood pressure (IASBP) differences ≥10 mmHg are associated with increased cardiovascular risk. Prevalence of IASBP differences is unclear given that studies are mainly in diseased populations and vary in measurement technique (sequential vs simultaneous recording). Moreover, no studies have determined whether dominant or non-dominant arm influences calculated central aortic blood pressure. The purpose of this study was to examine the prevalence of IASBP differences measured at the brachial artery and calculated at the aorta in community dwelling adults...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27643170/os-31-05-the-importance-of-inter-individual-blood-pressure-variability-on-the-incidence-of-recurrent-stroke-a-post-hoc-analysis-of-ascot-and-allhat
#17
Sun Uck Kwon, Dalia Wajsbrot, Bum Joon Kim, Ja-Seong Koo, Jong Moo Park, Barrett Jeffers
OBJECTIVE: To evaluate differences in blood pressure variability (BPV) between patients who experience a recurrent (secondary) stroke or transient ischemic attack (TIA) compared with patients who do not have recurrent stroke. DESIGN AND METHOD: Data were extracted from the ALLHAT and ASCOT-BPLA databases. BPV was defined as the within-subject standard deviation of systolic BP measurements across visits from 12-weeks (or 3-months [84 days]) onwards. BPV was analyzed using a generalized linear model with terms for treatment, prior stroke, interaction between treatment group and prior stroke, and baseline systolic BP...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27642953/os-13-01-brachial-and-calculated-aortic-blood-pressure-differences-when-measured-from-the-dominant-and-non-dominant-arm
#18
Mitchell Cook, Davis Theobald, Alberto Avolio, Karen Peebles, Mark Butlin
OBJECTIVE: Inter-arm systolic blood pressure (IASBP) differences ≥10 mmHg are associated with increased cardiovascular risk. Prevalence of IASBP differences is unclear given that studies are mainly in diseased populations and vary in measurement technique (sequential vs simultaneous recording). Moreover, no studies have determined whether dominant or non-dominant arm influences calculated central aortic blood pressure. The purpose of this study was to examine the prevalence of IASBP differences measured at the brachial artery and calculated at the aorta in community dwelling adults...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27560631/handedness-and-gender-influence-blood-pressure-in-young-healthy-men-and-women-a-pilot-study
#19
I Rueda, I Banegas, I Prieto, R Wangensteen, A B Segarra, A B Villarejo, M De Gasparo, J D Luna, F Vives, M Ruiz-Bailen, M Ramirez-Sanchez
OBJECTIVE: The type and level of sex steroids influence blood pressure (BP). It has been suggested that functional brain asymmetries may be influenced by sex hormones. In addition, there are inter-arm differences in BP not yet related with handedness. In this study, we hypothesize a possible association between sex hormones, handedness, and inter-arm differences in blood pressure. METHODS: To analyze this hypothesis, we measured BP in the left and right arm of the left and right handed adult young men and women in menstrual and ovulatory phase and calculated their mean arterial pressure (MAP)...
January 2016: Endocrine Regulations
https://www.readbyqxmd.com/read/27412818/association-of-inter-arm-blood-pressure-difference-with-asymptomatic-intracranial-and-extracranial-arterial-stenosis-in-hypertension-patients
#20
Yan Wang, Jin Zhang, Yuesheng Qian, Xiaofeng Tang, Huawei Ling, Kemin Chen, Yan Li, Pingjin Gao, Dingliang Zhu
Inter-arm blood pressure (BP) difference has been associated with ischemic stroke. Local atherosclerosis of stroke differ among vulnerable individuals, whereas intracranial arterial stenosis (ICAS) is more frequently affected Asians, and extracranial arterial stenosis (ECAS) is more prevalent among whites. We hereby sought to explore the association of inter-arm BP difference with ICAS and ECAS in stroke-free hypertensive patients in Chinese population. All the 885 subjects were evaluated of ICAS and ECAS through computerized tomographic angiography...
2016: Scientific Reports
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