Blood Pressure Monitoring in Hemiplegic Patients

Moorthy, S. S.; Davis, Luther; Reddy, Rajashree; Dierdorf, Stephen F.

doi:10.1213/00000539-199602000-00066

Cited by 2 publications

(4 citation statements)

References 3 publications

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“…Findings of the current study are in accordance with those of earlier studies (9,16), although reason(s) for this could not be ascertained. Tonicity was a strong determinant of BP disparity in the arms of stroke survivors as demonstrated in the current study, as well as other previous studies (9,12,16). The lower BP in the flaccid arms compared to the spastic and unaffected arms could be a result of increased compressibility of hypotonic muscle by the sphygmomanometer cuff.…”

Section: Discussionsupporting

confidence: 89%

“…This could be due to variations in muscle tone between the dominant and non -dominant arm. Previous studies (9,12,16) have reported this to be a strong predictor of lower or higher BP in the arms of stroke survivors.…”

Section: Discussionmentioning

confidence: 75%

“…Therefore, to prevent recurrent stroke, a major cause of morbidity and mortality among stroke survivors, the choice of the appropriate arm for BP measurement in this population is crucial, especially for high -risk survivors. Moorthy et al (12) observed that BP measurements on the affected arms of stroke survivors did not correlate well with measurements on the normal arms. Among past and contemporary clinicians, the reference arm for BP measurement in persons with stroke is fraught with ambiguity and controversy.…”

Section: Introductionmentioning

confidence: 99%

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Reference Arm for Blood Pressure Measurement in Stroke Survivors

Maduagwu

Umeonwuka

Mohammad

et al. 2018

Middle East J Rehabil Health Stud

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Background: Averting recurrent stroke among stroke survivors requires a choice of the appropriate arm for blood pressure (BP) measurement, especially among high -risk survivors. Objectives: This study aimed at determining the appropriate arm for BP measurement in stroke survivors. Methods: This cross sectional study comprised of 100 volunteer and willing stroke survivors enrolled using the convenient sampling technique from 2 public hospitals in Maiduguri, Nigeria. Each participant's BP was measured as stipulated by previous studies. Descriptive statistics were used to summarize the socio -demographics and clinical characteristics of the stroke survivors. Student's t -test for independent samples was used to compare mean BP between unaffected and affected arms of the participants. Results: Mean age and age range of the participants in years were 53.8 + 17.7 and 20 to 90, respectively. Participants that had had a stroke within the previous 7 months accounted for 69.0% of cases. Spastic stroke constituted 71%. Sides of the body afflicted with stroke were equally distributed. A significant difference (p = 0.017) existed in blood pressure between unaffected and affected arms of stroke survivors. Conclusions: Health workers involved in the management of stroke patients were advised to take blood pressure measurement from both the affected and non-affected arms; the arm with the higher value should be taken as the reference arm.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

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Reference Arm for Blood Pressure Measurement in Stroke Survivors

Maduagwu

Umeonwuka

Mohammad

et al. 2018

Middle East J Rehabil Health Stud

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“…To date, little attention has been given to subgroups of adults with cerebral palsy regarding the risk for hypertension. Higher BP levels were expected in spastic cerebral palsy, based on clinical experience, and previous studies in stroke patients [50,51]. In stroke patients, BP was found to be significantly higher in paretic arms of patients with a spastic tone and lower in arms with a flaccid tone.…”

Section: Discussionmentioning

confidence: 86%

Blood pressure in adults with cerebral palsy: a systematic review and meta-analysis of individual participant data

Noten

Berg-Emons

Thorpe

et al. 2021

Journal of Hypertension

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Objectives: This systematic review and meta-analysis was designed to determine the overall mean blood pressure and prevalence of hypertension among a representative sample of adults living with cerebral palsy by combining individual participant data. Additional objectives included estimating variations between subgroups and investigating potential risk factors for hypertension. Methods: Potential datasets were identified by literature searches for studies published between January 2000 and November 2017 and by experts in the field. Samples of adults with cerebral palsy ( n ≥ 10, age ≥ 18 years) were included if blood pressure data, cerebral palsy-related factors (e.g. cerebral palsy subtype), and sociodemographic variables (e.g. age, sex) were available. Hypertension was defined as at least 140/90 mmHg and/or use of antihypertensive medication. Results: We included data from 11 international cohorts representing 444 adults with cerebral palsy [median (IQR) age of the sample was 29.0 (23.0–38.0); 51% men; 89% spastic type; Gross Motor Function Classification System levels I–V]. Overall mean SBP was 124.9 mmHg [95% confidence interval (CI) 121.7–128.1] and overall mean DBP was 79.9 mmHg (95% CI 77.2–82.5). Overall prevalence of hypertension was 28.7% (95% CI 18.8–39.8%). Subgroup analysis indicated higher blood pressure levels or higher prevalence of hypertension in adults with cerebral palsy above 40 years of age, men, those with spastic cerebral palsy or those who lived in Africa. BMI, resting heart rate and alcohol consumption were risk factors that were associated with blood pressure or hypertension. Conclusion: Our findings underscore the importance of clinical screening for blood pressure in individuals with cerebral palsy beginning in young adulthood.

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Blood Pressure Monitoring in Hemiplegic Patients

Cited by 2 publications

References 3 publications

Reference Arm for Blood Pressure Measurement in Stroke Survivors

Reference Arm for Blood Pressure Measurement in Stroke Survivors

Blood pressure in adults with cerebral palsy: a systematic review and meta-analysis of individual participant data

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