Inter-arm blood pressure difference in post-stroke patients with hemiparesis

IF 2.7 4区医学 Q2 PERIPHERAL VASCULAR DISEASE Journal of Human Hypertension Pub Date : 2023-12-27 DOI:10.1038/s41371-023-00886-y

Hai-ping PENG, Liang TAO, Min TANG, Hai SU

引用次数: 0

Abstract

The aim of this study was to investigate that inter-arm blood pressure (BP) difference (IAD) and reference arm in 420 post-stroke patients with hemiparesis. Synchronous bilateral-arm BP was measured with two automatic BP devices, and the systolic BP difference of ≥10 mm Hg was recorded as increased sIAD. The arm with higher systolic BP (SBP) was assigned as the reference arm. Our results showed that the prevalence of sIAD was 18.1% in the total group. The paretic arms had similar mean SBP levels (133.6±18.4 vs. 133.8±18.4 mm Hg, NS) and DBP (77.8±11.5 vs. 77.2±10.9 mm Hg, NS) as compared with the unaffected arms. The detection rate of hypertension or uncontrolled hypertension on the SBP values of the reference arm was higher than that on the unaffected arm (41.8% vs. 36.3%). It is concluded that in the post-stroke patients with hemiparesis in the rehabilitation period, the prevalence of sIAD ≥10 mmHg was relatively higher, and using the unaffected arm, rather than the unaffected arm, for BP measurement could induce correctly detection of hypertension.

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中风后偏瘫患者手臂间的血压差异。

本研究旨在调查 420 名中风后偏瘫患者的臂间血压（BP）差（IAD）和参考臂。使用两台自动血压仪同步测量双臂血压，将收缩压差值≥10 mm Hg 记录为 sIAD 增加。收缩压（SBP）较高的手臂被指定为参考臂。我们的研究结果表明，全组的 sIAD 患病率为 18.1%。与未受影响的手臂相比，瘫痪手臂的平均 SBP 水平（133.6±18.4 vs. 133.8±18.4 mm Hg，NS）和 DBP 水平（77.8±11.5 vs. 77.2±10.9 mm Hg，NS）相似。参照臂 SBP 值的高血压或未控制高血压检出率高于未受影响臂（41.8% 对 36.3%）。结论是，在康复期的脑卒中后偏瘫患者中，sIAD ≥10 mmHg 的发生率相对较高，使用非受影响臂而非未受影响臂测量血压可诱导高血压的正确检测。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Human Hypertension 医学-外周血管病

CiteScore

5.20

自引率

3.70%

发文量

126

审稿时长

6-12 weeks

期刊介绍： Journal of Human Hypertension is published monthly and is of interest to health care professionals who deal with hypertension (specialists, internists, primary care physicians) and public health workers. We believe that our patients benefit from robust scientific data that are based on well conducted clinical trials. We also believe that basic sciences are the foundations on which we build our knowledge of clinical conditions and their management. Towards this end, although we are primarily a clinical based journal, we also welcome suitable basic sciences studies that promote our understanding of human hypertension. The journal aims to perform the dual role of increasing knowledge in the field of high blood pressure as well as improving the standard of care of patients. The editors will consider for publication all suitable papers dealing directly or indirectly with clinical aspects of hypertension, including but not limited to epidemiology, pathophysiology, therapeutics and basic sciences involving human subjects or tissues. We also consider papers from all specialties such as ophthalmology, cardiology, nephrology, obstetrics and stroke medicine that deal with the various aspects of hypertension and its complications.