The Future Alert of Inter-Arm Blood Pressure Difference in Young Healthy Population. (Preprint)

2020 ◽  
Author(s):  
Rawand Essa ◽  
Sirwan Khalid Ahmad Sr ◽  
Sanaa Abdul-Sahib Hassan ◽  
Rozhgar Qadir Mohammed ◽  
Zhalla Khdir Mire
Keyword(s):  
Blood Pressure ◽  
Pressure Difference ◽  
Stable Condition ◽  
P Value ◽  
Healthy Population ◽  
Dominant Hand ◽  
Cross Sectional ◽  
Blood Pressure Difference ◽  
The Future ◽  
The Right

BACKGROUND More than 100 years ago, the difference in blood pressure (BP) between arms was first reported. Recent studies have shown that different blood pressure between the right and left arm leads to cardiovascular events in the future. OBJECTIVE To establish the prevalence of an inter-arm blood pressure difference (IAD) and the dominant hands effect on the elevation blood pressure in young healthy population. METHODS This was a mixed research design, using a cross-sectional design; 3030 young, healthy participants, aged 15-40 years. BP was measured twice by both mercury sphygmomanometer and electronic simultaneously on both arms. has been carried out at Sulaimaniyah governorate/Kurdistan Region, Iraq, during the period 13th May 2019 to 22nd February 2020 RESULTS Three thousand and thirty volunteers participated in our study {1377 (45.4%) male, 1653 (54.6%) female, mean age 19.56 ± 5.14 years old, mean BMI 22.37 ± 3.83} all were young and healthy. The sIABP was equal in 163 persons (5.37%), dIABP was equal in 222 (7.32%),The sIAD > 10 mmHg (26.13 %),and dIAD > or =10 mmHg was found in 927 (33.53%) in the right arm, and 32.4% in the left arm. 288 (9.50%) were current smokers, 290 (9.6%) were smoking hookah Most had IAD above 30% of their IAD was above 10 mmHg (P-value = 0.000). In 2692 volunteers, BP, initially recorded in the dominant hand (right arm), showed sIAD> or = 10 mmHg in 943 (37.12%) volunteers, and when first measurement was done in 338 left-handed volunteers it showed sIAD> or = 10 mmHg in 112 (34.14%), P < 0.001. CONCLUSIONS We conclude that significant inter-arm systolic and diastolic BP differences above (10 mm Hg) is common in the young, healthy population. Hand dominance is a significant consideration while measuring blood pressure. It is mandatory to measure blood pressure in both arms in a sitting position with a stable condition.

scholarly journals Systolic and Diastolic Inter-Arm Blood Pressure Difference: A Cross-Sectional Study Of 3030 Young Healthy Adults

2021 ◽  
Author(s):  
Rawand Essa ◽  
Sirwan Ahmed
Keyword(s):  
Blood Pressure ◽  
Confidence Interval ◽  
Stable Condition ◽  
Cross Sectional Study ◽  
Healthy Population ◽  
Dominant Hand ◽  
Cross Sectional ◽  
Left Hand ◽  
The Difference ◽  
The Right

Abstract More than 100 years ago, the difference in blood pressure (BP) between arms was first reported. Recent studies have shown that different blood pressure between the right and left arm leads to cardiovascular events. Three thousand and thirty volunteers participated in our study. The sIABP was equal in 163 of 3030 persons (5.37%), dIABP was equal in 222 out of 3030 persons (7.32%), from a total of 792/3030 persons (26.1%) sIAD > 10 mmHg, and dIAD > or =10 mmHg was found in 927 out of 3030 persons (33.5%) in the right arm, and 32.4% in the left arm. In 2692 of 3030 volunteers BP, initially recorded in the dominant hand (right arm), showing sIAD> or = 10 mmHg was found in 943 (37.1%) volunteers, and when the first measurement was done in 338 left-handed volunteers it showed sIAD> or = 10 mmHg in 112 of 338 (34.1%), P < 0.001; 95% confidence interval for systolic right hand were (115.73: 116.73), and for systolic left hand 95% confidence interval were (113.17:114.15). Furthermore, height, residential area, and heart rate above 90 bpm had a significant effect on IAD (P =. 041, .002, <001, respectively). In conclusions significant inter-arm systolic and diastolic BP differences above (10 mm Hg) is common in the young, healthy population. Hand dominance is a significant consideration while measuring blood pressure. It is mandatory to measure blood pressure in both arms in a sitting position with a stable condition.

INTERARM SYSTOLIC BLOOD PRESSURE DIFFERENCE IS ASSOCIATED WITH A HIGH PREVALENCE OF CARDIO VASCULAR DISEASES- A CROSS-SECTIONAL STUDY IN POLICE WORKER

2020 ◽  
Vol 4 (11) ◽  
Author(s):  
Somesh Raju ◽  
Rina Kumari ◽  
Sunita Tiwari ◽  
NS Verma
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Blood Sugar ◽  
Pressure Difference ◽  
Systolic Pressure ◽  
Working Environment ◽  
Vascular Events ◽  
Cross Sectional ◽  
Blood Pressure Difference ◽  
High Prevalence

Background: Interarm systolic blood pressure difference more than 10 mm of Hg is predictor of cardiovascular and metabolic risk. Despite of sufficient physical activity there is high prevalence of obesity in police personal because of stressful working environment. No studies have addressed the significance of interarm pressure difference among them. Therefore, the present study conducted to access the relation of interarm blood pressure difference with obesity in police personnel. Aims and Objective: To estimate the interarm pressure difference in police personal to see its association with their obesity. Material and Method: This cross-sectional observational study done on 245 police workers in PAC, Sitapur, India. Subjects having more than ten years of working experience were included in study. Anthropometric measurements of subject recorded by following standard protocol. Measurement of systolic pressure in both arm recorded simultaneously by mercury sphygmomanometer. Available data analyze and expressed in percentage, mean with SD and chi square test to see the significance of association. Results: According to anthropometric results of subjects 77.14 prcent subjects were having generalised obesity and 82.04 percent of subjects having abdominal obesity. 34.29 percent of subjects showed abnormally high (?10 mmHg) inter-arm systolic blood pressure difference. Both type of obesity showed positive association with blood sugar level but no association with interarm pressure difference. Conclusion: Interarm blood pressure difference is greater in individual having obesity or prolong duration of service. Such subjects are more susceptible to develop coronary artery disease or peripheral arterial disease in future. Early screening can help to detect the vascular events likely to occur in the future Keywords: Body mass index, Waist circumference, Interarm pressure difference, Random blood sugar

scholarly journals Claudication Caused By Stenosis of Arteria Lusoria—Case Report and Review of Literature

2019 ◽  
Vol 12 ◽  
pp. 117954761984218
Author(s):  
Aleksandra Tuleja ◽  
Iris Baumgartner ◽  
Marc Schindewolf
Keyword(s):  
Blood Pressure ◽  
Pressure Difference ◽  
Upper Extremities ◽  
Review Of Literature ◽  
Endovascular Recanalization ◽  
Arteria Lusoria ◽  
Endovascular Interventions ◽  
Blood Pressure Difference ◽  
The Right ◽  
Bronchial Compression

Arteria lusoria is a rare vascular aberration; its presence is frequently associated with dysphagia or dyspnea due to esophageal or bronchial compression. We present a case of a stenotic arteria lusoria causing upper extremities blood pressure difference, claudication, and Raynaud’s syndrome of the right hand. The patient opted against endovascular recanalization and was treated conservatively. This case demonstrates a rare cause of upper extremity blood pressure difference that must be considered as differential diagnosis. Furthermore, the knowledge of arteria lusoria is pivotal for successful transbrachial coronary or peripheral endovascular interventions.

scholarly journals ASSOCIATION OF BODY MASS INDEX WITH INTERARM BLOOD PRESSURE DIFFERENCE: A COMPARATIVE AND CROSS SECTIONAL STUDY

2015 ◽  
Vol 4 (103) ◽  
pp. 16850-16851
Author(s):  
Namala Surya Kumari ◽  
Vikram Venkateswarulu ◽  
Reyya Mohan Sundar ◽  
Swapna Micheal Bandela ◽  
Chadalavada Srinivas
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
Pressure Difference ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Blood Pressure Difference

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

2020 ◽  
pp. 1-7
Author(s):  
Oluwaseun Solomon Ojo ◽  
Oluwaseun Solomon Ojo ◽  
Akinfemi Joel Fatusin ◽  
Bolatito Betty Fatusin ◽  
Ademola Oluwaseun Egunjobi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Primary Care ◽  
Pressure Measurement ◽  
Pressure Difference ◽  
Blood Pressure Measurement ◽  
Blood Pressure Difference ◽  
Primary Care Patients ◽  
The Right ◽  
Dual Arm

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.

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

2020 ◽  
Vol 1 (1) ◽  
pp. 8-13
Author(s):  
Dilli Bahadur Pun ◽  
Sonam Chaudhary ◽  
Prashanna Shrestha ◽  
Bobby Thapa ◽  
Nirjala Laxmi Madhikarmi
Keyword(s):  
Blood Pressure ◽  
Young Adults ◽  
Family History ◽  
Pressure Difference ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Blood Pressure Difference ◽  
History Of ◽  
Family History Of Hypertension

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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