Association of Inter-arm Blood Pressure Difference with Atherosclerosis in Patients without Cardiovascular Diseases

Tak, Young Jin; Kim, Yun-Jin; Lee, Sang Yeoup; Lee, Jeonggyu; Jeong, Dong-Wook; Yi, Yu Hyeon; Cho, Young Hye; Choi, Eun‐Jung; Nam, Kyung-Jee; Hwang, Hye Rim

doi:10.5646/jksh.2013.19.3.71

Cited by 7 publications

(15 citation statements)

References 26 publications

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“…Inaddition, sIAD levels have been found to be associated with a significantly increased risk of future cardiovascular events [18]. The prevalence of of high sIAD (23.4%) in our result is higher than those reported by Su and colleagues [19] and Kim and colleagues [20], and is lower than that reported by Clark and colleagues [21], but is similar to that reported by Tak and colleagues [22]. In addition, it was similar to the result of a meta-analysis performed by Clack and colleagues [23].…”

Section: V Discussioncontrasting

confidence: 57%

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Gender differences in the relationship between adiposity and systolic inter-arm blood pressure difference in Korea adults

Kim¹

2016

Journal of the Korea Society of Computer and Information

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The present study was conducted to assess gender differences in the relationship between adiposity and systolic inter-arm blood pressure difference (sIAD) in Korean adults. In this paper, we propose a 410 adults (235 men and 175 women) who were over 30 years old and had undergone a health check participated from June to November 2013. The incidences of high sIAD (sIAD ≥10 mmHg) in males and females were 24.6% and 15.3%, respectively. We conducted a logistic regression analysis after adjusting for variables such as age, smoking, drinking, exercising, TC, TG, HDL-C, and FPG. Key study results were as follows: First, in men, the odds ratio (OR) of high sIAD of the obesity group was significantly higher than that of the normal weight group [2.25 (95% confidence interval (CI), 1.19-4.25)], but abdominal obesity was not associated with high sIAD. Second, in women, the OR of high sIAD of the abdominal obesity group was significantly higher than that of the non-abdominal obesity group [2.52 (95% CI, 1.03-6.13)], but obesity status was not associated with high sIAD. In conclusion, Obesity is associated with the incidence of high sIAD in Korean men, and abdominal obesity is associated with the incidence of high sIAD in Korean women.▸Keyword : inter-arm blood pressure difference,adiposity,obesity,abdominal obesity,gender differences I . In t r o duct i o n Obesity is one of the most important public health problems due to its association with many chronic diseases, such as cardiovascular disease, hypertension, diabetes mellitus, and dyslipidemia [1][2][3][4]. In addition, abdominal obesity has consistently been shown to be related to the increased risk of cardiovascular disease, such as peripheral vascular disease, hypertension, and insulin resistance [5][6][7][8].The systolic inter-arm blood pressure difference (sIAD) is found in normal people by examining the

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Section: V Discussioncontrasting

confidence: 57%

“…Kim and colleagues reported that obesity status (men, p=0.757; women, p=0.185) was not significantly related to sIAD levels [22]. However, in their study, the mean sIAD level (men, 3.19±2.38 mmHg; women, 2.61±2.18 mmHg) and the prevalence of high sIAD (men, 1.9%; women, 0%) were lower than those in our study.…”

Section: V Discussioncontrasting

confidence: 55%

Gender differences in the relationship between adiposity and systolic inter-arm blood pressure difference in Korea adults

Kim¹

2016

Journal of the Korea Society of Computer and Information

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“…Our results revealed that the right arm BP was higher than the left arm BP, which was in consistent with results of previous studies. 4) 14) 27) A possible explanation is that muscles in the dominant arm are more developed that it might take more pressure in the right arm cuff to overcome tissue inertia. Hence, BP in the right arm of right handed people might be measured higher than the BP in their left arm.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, BP in the right arm of right handed people might be measured higher than the BP in their left arm. 4) In addition, slight differences of anatomical structures such as angulation and branching of the aorta as well as hemodynamic profiles might have affected the result. 28)…”

Section: Discussionmentioning

confidence: 99%

“…To accurately investigate differences in BP between the two arms, both arms must be measured simultaneously and repeatedly using the same device. In previous studies, BP was either sequentially measured, 3) 4) 5) 6) 7) simultaneously measured with two devices, 8) 9) 10) or measured only once. 6) 10) 11) In addition, most studies were conducted for patients with cardiovascular diseases, 5) 6) 8) 11) 12) 13) with only a few targeting the general populations.…”

Section: Introductionmentioning

confidence: 99%

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Inter-Arm Difference in Brachial Blood Pressure in the General Population of Koreans

et al. 2016

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Background and ObjectivesWe investigated the inter-arm difference in blood pressure of the general Korean population to identify associated factors.Subjects and MethodsA total of 806 participants aged 30 to 64 years without history of major cardiovascular disease were analyzed in this cross-sectional study. They participated in the Cardiovascular and Metabolic Disease Etiology Research Center cohort study that began in 2013. Brachial blood pressure was measured simultaneously for both arms using an automated oscillometric device equipped with two cuffs in seated position. After five minutes of rest, systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured three times. The average of the three measurements was used for analysis. Multivariate logistic regression models were used to identify factors associated with inter-arm differences in blood pressure.ResultsThe mean inter-arm difference was 3.3 mmHg for SBP and 2.0 mmHg for DBP. Large inter-arm differences (≥10 mmHg) in SBP and in DBP were found in 3.7% and 0.9% of subjects, respectively. A large inter-arm difference in SBP was associated with mean SBP (p=0.002) and C-reactive protein (p=0.014) while a large inter-arm different in DBP was only associated with body mass index (p=0.015). Sex, age, and anti-hypertensive medication use were not associated with differences in inter-arm blood pressure.ConclusionLarge inter-arm difference in blood pressure is only present in a small portion of healthy Korean adults. Our findings suggest that high SBP, chronic inflammation, and obesity may be associated with larger difference in inter-arm blood pressure.

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Interarm blood pressure difference in a post-stroke population

Gaynor

Brewer

Mellon

et al. 2017

Journal of the American Society of Hypertension

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Association of Inter-arm Blood Pressure Difference with Atherosclerosis in Patients without Cardiovascular Diseases

Abstract: Blood pressure (BP) measurement is the most common investigation performed in primary care.

Cited by 7 publications

References 26 publications

Gender differences in the relationship between adiposity and systolic inter-arm blood pressure difference in Korea adults

Gender differences in the relationship between adiposity and systolic inter-arm blood pressure difference in Korea adults

Inter-Arm Difference in Brachial Blood Pressure in the General Population of Koreans

Interarm blood pressure difference in a post-stroke population

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