Systolic and Diastolic Inter-Arm Blood Pressure Difference: A Cross-Sectional Study Of 3030 Young Healthy Adults

Abstract

More than 100 years ago, the difference in blood pressure (BP) between arms was first reported. Recent studies have shown that different blood pressure between the right and left arm leads to cardiovascular events. Three thousand and thirty volunteers participated in our study. The sIABP was equal in 163 of 3030 persons (5.37%), dIABP was equal in 222 out of 3030 persons (7.32%), from a total of 792/3030 persons (26.1%) sIAD > 10 mmHg, and dIAD > or =10 mmHg was found in 927 out of 3030 persons (33.5%) in the right arm, and 32.4% in the left arm. In 2692 of 3030 volunteers BP, initially recorded in the dominant hand (right arm), showing sIAD> or = 10 mmHg was found in 943 (37.1%) volunteers, and when the first measurement was done in 338 left-handed volunteers it showed sIAD> or = 10 mmHg in 112 of 338 (34.1%), P < 0.001; 95% confidence interval for systolic right hand were (115.73: 116.73), and for systolic left hand 95% confidence interval were (113.17:114.15). Furthermore, height, residential area, and heart rate above 90 bpm had a significant effect on IAD (P =. 041, .002, <001, respectively). In conclusions significant inter-arm systolic and diastolic BP differences above (10 mm Hg) is common in the young, healthy population. Hand dominance is a significant consideration while measuring blood pressure. It is mandatory to measure blood pressure in both arms in a sitting position with a stable condition.

Association between inter-arm blood pressure difference and cardiovascular disease: result from baseline Fasa Adults Cohort Study

“…These people are at risk of developing cardiovascular diseases in the future, so they need to be observed and followed up 2 The results of the Seethalakshmi et al study showed that 46% of the participants had an inter-arm SBPD of 10 mmHg or more and 35% of them had an inter-arm DBPD of 5 mmHg or more 15 . Additionally, another study showed that 26.1% of the participants had an inter-arm SBPD of 10 mmHg or more 16 . According to the studies, the difference in systolic blood pressure between the two arms is more observed in the elderly 17 , 18 .…”