Reader Offers Solution to Blood Pressure Cuff Problem

Schell, Melinda

doi:10.4037/ajcc2007.16.1.19-a

Cited by 1 publication

(2 citation statements)

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“…These same factors may be present in our skeletal dysplasia cohort. Also similar to our skeletal dysplasia cohort, there was minimal difference between the upper and lower arm segment when the blood pressure measurements from these average stature individuals were combined as a population (Charmoy et al, 2007;Schell, 2007). Overall, as these authors and others noted, the forearm may be a useful alternative to measure blood pressure when the upper arm is not possible (Charmoy et al, 2007;Schell, 2007;Schell et al, 2005;Singer et al, 1999).…”

Section: Discussionsupporting

confidence: 78%

“…However, when the difference between the upper and lower arm systolic and diastolic values was considered at an individual level, there was more variability. Authors have postulated that similar observed differences in average stature adults may be due to arm position, technique, or variation in compliance or depth of the artery being measured (Charmoy, Wurzner, Ruffieux, et al, ; Schell, ). These same factors may be present in our skeletal dysplasia cohort.…”

Section: Discussionmentioning

confidence: 98%

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Blood pressure in adults with short stature skeletal dysplasias

Hoover‐Fong

Alade

Ain

et al. 2019

American J of Med Genetics Pt A

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Hypertension, compounded by obesity, contributes to cardiovascular disease and mortality. Data describing hypertension prevalence in adults with short stature skeletal dysplasias are lacking, perhaps due to poor fit of typical adult blood pressure cuffs on rhizomelic or contracted upper extremities. Through health screening research, blood pressure was measured in short stature adults attending support group meetings and skeletal dysplasia clinics. Blood pressure was measured with a commercially available, narrower adult cuff on the upper and/or lower segment of the arm. Height, weight, age, gender, diagnosis, exercise, and medications were collected. Subjects were classified as normotensive, prehypertensive, or hypertensive for group analysis; no individual clinical diagnoses were made. In 403 short stature adults, 42% were hypertensive (systolic >140, diastolic >90 OR taking antihypertensive medications).For every BMI unit and 1 kg weight increase in males, there was a 9% and an 8% increase, respectively, in the odds of hypertension versus normotension. In females, the increase was 10% and 6%, respectively. In those with achondroplasia, the most common short stature dysplasia, males (n = 106) had 10% greater odds of hypertension versus normotension for every BMI unit and kilogram increase. In females with

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