Inter-arm and Inter-Leg Systolic Blood Pressure Differences in Aortic Dissection

Su, Yu‐Jang; Lai, Ying–Cheng; Chen, Chang-Chih; Tang, Lap-Ming; Chang, Wenhan; Chang, Kuo-Song

doi:10.1016/s1873-9598(08)70039-5

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…Meanwhile, elevatedsIAND has been demonstrated a predictor for increased total mortality and cardiovascular mortality [11], [12]. Unfortunately, no unified diagnosis criterion was reported and accepted now [12],[17].…”

Section: Discussionmentioning

confidence: 99%

The Prevalence and Influence Factors of Inter-Ankle Systolic Blood Pressure Difference in Community Population

Tao²,

Zhou³

et al. 2013

PLoS ONE

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AimThe aim of this study was to investigate the prevalence of interankle systolic blood pressure difference (sIAND) and its influencing factors in community population.MethodsThis study included 2849 (65.1±9.4 y) subjects. Blood pressure (BPs) of four limbs was simultaneously measured with 4 electronic sphygmomanometers after 10 min rest in supine position. The difference of systolic BP (SBP) between two ankles was calculated as DETASBP. The criterion for abnormal sIAND was ≥10 mmHg of absolute DeltaSBP, in which the criterion for 1o sIAND was 10–19 mmHg and for 2o sIAND was ≥20 mmHg. Age, gender, smoking, hypertension, family histories of hypertension and diabetes were recorded. Fasting blood glucose and lipids, circumference of hip and waist, and body mass index (BMI) were measured.ResultsThe SBP was higher in the right ankle than in the left ankle (158.9±21.8 vs 157.3±21.6 mmHg, P<0.05) and mean DeltaSBP was 6.08±6.26 mmHg. Similar difference was found in both genders. The prevalence of abnormal was 18.5%, in which, the prevalence 1o sIAND was 15.3% and that of 2o sIAND was 3.1%. Multivariate regression analysis showed that age, waist circumference and blood glucose level were the positive factors for DeltaSBP. The normal upper limit for DeltaSBP was 16.7 mmHg in this population, the prevalence of sIAND by≥16 mmHg was 5.8%.ConclusionAging, hypertension, obesity and abnormal glucose metabolism are positive factors for inter-ankle SBP difference.

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Section: Discussionmentioning

confidence: 99%

The Prevalence and Influence Factors of Inter-Ankle Systolic Blood Pressure Difference in Community Population

Tao²,

Zhou³

et al. 2013

PLoS ONE

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The Clinical Presentation and Correlation, Prognosis in Elderly Aortic Dissection Patients with Hypotension

Liu

Yeh

2015

International Journal of Gerontology

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s u m m a r y Background: Aortic dissection (AD) is an emergent cardiovascular disease in the emergency department (ED). Objective: To investigate the clinical manifestation and outcomes in patients with aortic dissection accompanied by greater mediastinal width (MW) and hypotension status, and make further comparisons. Methods: We studied retrospectively 127 AD cases in 6 consecutive years from January, 1, 2005 to December, 31, 2010 from the ED. We gathered the data of sex, age, time and season of episodes, medical histories, symptoms, and heart rate at triage, and further assessed MW and hypotensive status, and related them to clinical outcome (died or survival to discharge). Results: In total, 58 men and 20 women enrolled in this study (mean age, 65 ± 13 years). The MW in the elderly was greater than nonelderly (9.9 ± 1.9 cm vs. 9.4 ± 1.8 cm, p ¼ 0.04). AD patients who presented to ED with hypotension have significantly higher D-dimer level, longer hospital stay, and higher mortality rate. Conclusion: AD and larger MW are associated with being elderly and of hypotensive status. In addition, AD patients with hypotension may have longer hospital stay and higher mortality rate.

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Defining the relationship between arm and leg blood pressure readings

Sheppard

Albasri

Franssen

et al. 2019

Journal of Hypertension

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To define the relationship between arm and leg blood pressure to inform the interpretation of leg blood pressure readings in routine clinical practice where arm readings are not available. Methods: Systematic review of all existing studies comparing arm and leg blood pressure measurements. A search strategy was designed in MEDLINE and adapted to be run across six further databases. Articles were deemed eligible for inclusion if they measured and reported arm and leg blood pressure taken in the supine position and/or the difference between the two. Mean values for arm-leg blood pressure difference and measures of precision (95% confidence intervals [CI] or standard deviation) were extracted and entered into a random-effects meta-analysis. Results: A total of 887 articles were screened and 44 were included in the descriptive analyses, including 9,771 patients. In the general population, ankle systolic blood pressure was 17.0 mmHg (95%CI 15.4 to 21.3 mmHg) higher than arm blood pressure in the supine position. For diastolic blood pressure, there was no difference between arm and ankle blood pressure (-0.3 mmHg, 95%CI-1.5 to 1.0 mmHg). In patients with vascular disease, systolic blood pressure was-33.3 mmHg (95%CI-59.1 to-7.6 mmHg) lower in the ankle compared to the arm. Conclusions: This is the first review to provide empirical data defining the difference between blood pressure in the arm and leg in the general population. Findings suggest a diagnostic threshold of 155/90 mmHg could be used for diagnosing hypertension when only ankle measurements are available in routine practice.

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Inter-arm and Inter-Leg Systolic Blood Pressure Differences in Aortic Dissection

Cited by 3 publications

References 11 publications

The Prevalence and Influence Factors of Inter-Ankle Systolic Blood Pressure Difference in Community Population

The Prevalence and Influence Factors of Inter-Ankle Systolic Blood Pressure Difference in Community Population

The Clinical Presentation and Correlation, Prognosis in Elderly Aortic Dissection Patients with Hypotension

Defining the relationship between arm and leg blood pressure readings

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