دورية أكاديمية
Clinical relevance of double-arm blood pressure measurement and prevalence of clinically important inter-arm blood pressure differences in Indian primary care
| العنوان: | Clinical relevance of double-arm blood pressure measurement and prevalence of clinically important inter-arm blood pressure differences in Indian primary care |
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| المؤلفون: | Wander, Gurpreet S, McDonagh, Sinead T J, Rao, M Srinivasa, Alagesan, R, Mohan, J C, Bhagwat, Ajit, Pancholia, A K, Viswanathan, M, Chopda, Manoj Bhavrilal, Purnanand, A, Kapardhi, P L N, Vadavi, Arun R, Selvaraj, R, Aneja, Pankaj, Hardas, Suhas, Bordoloi, Neil, Sivakadaksham, N, Goswami, Nilesh, Clark, Christopher E, Verberk, Willem J |
| المصدر: | Wander , G S , McDonagh , S T J , Rao , M S , Alagesan , R , Mohan , J C , Bhagwat , A , Pancholia , A K , Viswanathan , M , Chopda , M B , Purnanand , A , Kapardhi , P L N , Vadavi , A R , Selvaraj , R , Aneja , P , Hardas , S , Bordoloi , N , Sivakadaksham , N , Goswami , N , Clark , C E & Verberk , W J 2022 , ' Clinical relevance of double-arm blood .... |
| سنة النشر: | 2022 |
| المجموعة: | Maastricht University Research Publications |
| مصطلحات موضوعية: | ACCURACY, ASSOCIATION, ATRIAL-FIBRILLATION, DIAGNOSIS, GUIDELINES, HYPERTENSION, MICROLIFE WATCHBP OFFICE, PREVENTION, PROFESSIONAL DEVICE, VASCULAR-DISEASE, blood pressure, cardiovascular disease, inter-arm blood pressure difference |
| الوصف: | Hypertension guidelines recommend measuring blood pressure (BP) in both arms at least once. However, this is seldom done due to uncertainties regarding measurement procedure and the implications of finding a clinically important inter-arm BP difference (IAD). This study aimed to provide insight into the prevalence of clinically important IADs in a large Indian primary care cohort. A number of 134 678 (37% female) unselected Indian primary care participants, mean age 45.2 (SD 11.9) years, had BP measured in both arms using a standardized, triplicate, automated simultaneous measurement method (Microlife WatchBP Office Afib). On average, there were clinically minor differences in right and left arm BP values: systolic BP 134.4 vs 134.2 mmHg (p < .01) and diastolic BP 82.7 vs 82.6 mmHg (p < .01), respectively. Prevalence of significant mean systolic IAD between 10 and 15 mmHg was 7,813 (5.8%). Systolic IAD ≥ 15 mmHg 2,980 (2.2%) and diastolic IAD ≥ 10 mmHg 7,151 (5.3%). In total, there were 7,595 (5.6%) and 8,548 (6.3%) participants with BP above the 140/90 mmHg threshold in only the left or right arm, respectively. Prevalence of participants with elevated BP on one arm only was highest in patients with a systolic IAD ≥ 15 mmHg; 19.1% and 13.7%, for left and right arm, respectively. This study shows that a substantial prevalence of IAD exists in Indian primary care patients. BP is above the diagnostic threshold for hypertension in one arm only for 6% of participants. These findings emphasize the importance of undertaking bilateral BP measurement in routine clinical practice. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://cris.maastrichtuniversity.nl/en/publications/31e24e8a-dfe8-4fa8-9db7-95b6a7a6e595Test |
| DOI: | 10.1111/jch.14497 |
| الإتاحة: | https://doi.org/10.1111/jch.14497Test https://cris.maastrichtuniversity.nl/en/publications/31e24e8a-dfe8-4fa8-9db7-95b6a7a6e595Test |
| حقوق: | info:eu-repo/semantics/closedAccess |
| رقم الانضمام: | edsbas.321ABDA8 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1111/jch.14497 |
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