Factors associated with inter-arm blood pressure differences in patients admitted to critical care units

Rosenberger, Jayne; McCrudden, Susan; McCullough, Carol; Wang, Lu; Kime, Joni; Albert, Nancy M.

doi:10.1016/j.hrtlng.2017.11.004

Cited by 12 publications

(10 citation statements)

References 24 publications

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“…In contrast with the 5-mmHg threshold, prior work using a similar simultaneous SBP measuring system on 407 patients with coronary artery disease (CAD) and 250 without CAD but all having cardiovascular risk-factors, indicated a forward looking predictive threshold of 10 mmHg as predictive of cardiovascular morbidity (Tokitsu et al, 2015). These include patients with overt vascular disease (Kranenburg et al, 2017), patients with hypertension (Kim et al, 2017), patients admitted to intensive care units (Rosenberger et al, 2018), and other patient populations as reported in several meta analyses (Cao et al, 2015;Clark et al, 2016;Zhou et al, 2016). There have been a variety of other studies that have focused on characterizing inter-arm pressure differences in variously compromised patients.…”

Section: Introductionmentioning

confidence: 99%

“…There have been a variety of other studies that have focused on characterizing inter-arm pressure differences in variously compromised patients. These include patients with overt vascular disease (Kranenburg et al, 2017), patients with hypertension (Kim et al, 2017), patients admitted to intensive care units (Rosenberger et al, 2018), and other patient populations as reported in several meta analyses (Cao et al, 2015;Clark et al, 2016;Zhou et al, 2016). However, to a much lesser extent have inter-arm SBP differentials been studied in healthy populations (Fotherby et al, 1993;Grossman et al, 2013;Kim et al, 2013) and none have separately considered the role of handedness as it may relate to measured inter-arm SBP differences.…”

Section: Introductionmentioning

confidence: 99%

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Inter‐arm systolic blood pressure dependence on hand dominance

Mayrovitz

2018

Clin Physio Funct Imaging

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Inter-arm systolic blood pressure differences (SBP-DIFF) ≥ 10 mmHg have been reported useful to predict future cardiovascular-related morbidities. Although well studied in patients, there is little information on healthy young adults and the role of hand-dominance as a factor affecting SBP-DIFF. As dominant arms (DOM) tend to have greater girth and muscle development than nondominant arms (NDOM) it was reasoned that cuff pressures needed to obtain SBP may be greater on DOM causing DOM SBP to be greater. To test this hypothesis and also provide typical values, SBP was measured in left and right-handers (29·4 ± 10·4 years) in whom handedness was clearly defined. Handedness was determined by a multi-question form in 90 young adults (45 male) and SBP-DIFF determined via simultaneous measurements done in triplicate on seated subjects. The percentage of left-handers in male and female sub-groups were equal at 37·8%. Results show that the absolute SBP-DIFF in left-handers (mean ± SD) was 4·4 ± 3·8 mmHg and for right-handers was 5·0 ± 4·2 mmHg (P = 0·362). There was also no statistically significant difference among 1st, 2nd and 3rd measured SBP-DIFF for either right or left-handers or differences between right and left-handers. Results show no evidence of a higher SBP in DOM and thus clarifies the hand-dominance issue as a factor not generally needing to be considered in clinical assessments. A potentially useful secondary outcome was the finding that 14·8% of this group had at least one measured SBP-DIFF ≥ 10 mmHg a fact that may have future relevance.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Inter‐arm systolic blood pressure dependence on hand dominance

Mayrovitz

2018

Clin Physio Funct Imaging

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“…Dua et al [43] observed that there was a positive correlation between BMI, fat percentage, and BP. Rosenberger et al [44] stated that the factors most likely to be associated with IAD in BP were non-married status and hypertension, followed by older age. Large IAD in BP was associated with obesity and higher systolic BP, [40] BMI, and mean SBP, [5] but were not associated with age.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Different Methods of Blood Pressure Measurements from the Arm and the Ankle in Young and Elderly People: A Cross-Sectional Study

Kaştan¹,

Akdeniz²,

Kavradım³

et al. 2022

J Cardiovasc Nurs

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Objective: In this study, we aimed to compare different methods of measuring blood pressure devices and to investigate the inter-arm and inter-leg difference (IAD and ILD), the ankle brachial index, and variables that affect them in young and elderly participants. Methods: This study was conducted in Turkey with 150 students studying at a university and 150 individuals aged over 60, a total of 300 participants. Data regarding the measurements of arm and ankle blood pressures using an automated oscillometric device and an aneroid sphygmomanometer were collected between December 2019 and January 2020 by the researchers. Results: There was a correlation between the right arm systolic blood pressure and the variable of bodyweight, and measurements made by automatic oscillometry were higher than those made using an aneroid manometer. A large IAD of ≥ 10 mmHg was found in 22.7% of the participants, and large ILD was found in 30%. Mean IAD was associated with bodyweight and body mass index. ILD was greater in men than in women and in older individuals compared with those in younger participants. In addition, low ankle brachial index values of ≤ 0.9 were found in 2.3% of the participants. Conclusion:The present data show the results of a comparison of blood pressure measurements in young and old individuals made using different devices and parts of the body. We believe that the findings will create awareness in the researchers and health personnel regarding comparison of IAD and ILD and ankle brachial index in these individuals.

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“…The registration of the arm used in the procedure indicates to other professionals possible situations that are contraindications for measurement in the contralateral limb, such as lymphedemas, thrombosis, grafting, ischemia, fistulas and the use of central or peripheral devices 27 . In addition, studies have demonstrated the existence of differences in SBP and DBP values in the different arms of older people and in patients with HTN, diabetes mellitus, hypercholesterolemia and peripheral vascular disease 30-31 .…”

Section: Discussionmentioning

confidence: 99%

Efeito de um programa educativo no conhecimento e na qualidade dos registros da pressão arterial

Daniel

Veiga

Machado

et al. 2019

Rev. Latino-Am. Enfermagem

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Objective to evaluate the effect of an educational program on blood pressure recording for nursing professionals in relation to theoretical knowledge and the quality of these records.Method quasi-experimental study conducted in a hospital service located in the city of São Paulo. The theoretical knowledge of 101 professionals was measured using a validated questionnaire before and after the educational intervention; the quality of blood pressure records was evaluated using a validated form which was applied to 354 records in the pre-intervention period and 288 in the post-intervention period. The educational program was based on active teaching-learning methodologies and consisted of two strategies: expository/dialogue class and a board game. The Wilcoxon, Mann-Whitney, Fisher and Chi-Square tests were used for comparisons, adopting a level of significance of α=0.05.Results the median of the professionals’ scores increased from 19 to 22 points in the post-intervention period (p<0.001). There was an improvement in the quality of the blood pressure recordings regarding the variables: cuff size (p<0.001), arm used in the procedure (p<0.001) and patient position (p<0.001).Conclusion the educational program showed positive results in the promotion of knowledge among nursing professionals and in the improvement of the quality of blood pressure recording.

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Factors associated with inter-arm blood pressure differences in patients admitted to critical care units

Cited by 12 publications

References 24 publications

Inter‐arm systolic blood pressure dependence on hand dominance

Inter‐arm systolic blood pressure dependence on hand dominance

Comparison of Different Methods of Blood Pressure Measurements from the Arm and the Ankle in Young and Elderly People: A Cross-Sectional Study

Efeito de um programa educativo no conhecimento e na qualidade dos registros da pressão arterial

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