Background: In new outpatients, blood pressure should be measured in both arms. A previous study reported that an inter-arm systolic blood pressure difference (ΔSBP) of ≥10 mm Hg is associated with an increased risk...Background: In new outpatients, blood pressure should be measured in both arms. A previous study reported that an inter-arm systolic blood pressure difference (ΔSBP) of ≥10 mm Hg is associated with an increased risk of mortality. Aim: The aim was to identify the associations with absolute values of ΔSBP (|ΔSBP|) ≥10 mm Hg. Subjects and Methods: This study included 2481 patients. Patients with a body mass index ≥25 kg/m<sup>2</sup> were defined as obese. The group of A was defined as following: ankle-brachial index (ABI) was <0.9 or ≥1.3. ΔSBP was expressed as right arm BP minus left arm BP. |ΔSBP| ≥10 mm Hg were analyzed using multivariate logistic analysis. Results: |ΔSBP| ≥10 mm Hg was found in 6.0% of patients and |ΔSBP| < 5 mm Hg in 80.4%. In multivariate analysis, the odds ratios (ORs) of the associations with |ΔSBP| ≥10 mm Hg were significantly associated with abnormal ABI and obesity regardless of sex and age. Moreover, the OR of the combined effects of abnormal ABI and obesity was higher than that of abnormal ABI and obesity alone. Conclusion: |ΔSBP| ≥10 mm Hg was associated with abnormal ABI and obesity. In a primary care setting, blood pressure should be actively measured in both arms. This study suggests that the associations with |ΔSBP| ≥10 mm Hg may be a useful part of screening for abnormal ABI.展开更多
目的:在社区医院就诊者中探讨臂式电子血压计与台式水银血压计的测量值有无差异。方法:连续纳入太阳宫社区卫生服务中心门诊就诊患者200例,分别用臂式电子血压计和台式水银血压计测量同侧上臂血压,比较两者测量的血压值。并对高血压、...目的:在社区医院就诊者中探讨臂式电子血压计与台式水银血压计的测量值有无差异。方法:连续纳入太阳宫社区卫生服务中心门诊就诊患者200例,分别用臂式电子血压计和台式水银血压计测量同侧上臂血压,比较两者测量的血压值。并对高血压、糖尿病、超重及肥胖患者的血压值差异进行分析比较。结果:电子与水银血压计的舒张压测量值差异无统计学意义(79.7±10.5 vs 79.8±10.2mmHg,P=0.96);电子血压计收缩压测量值显著高于水银血压计(140.7±18.5 vs 136.4±18.2mmHg,P<0.01),平均收缩压差值为4.4mmHg。糖尿病患者电子血压计收缩压和舒张压测量值均显著高于水银血压计(146.9±20.5 vs 142.5±20.4mmHg,P<0.05;79.6±11.7 vs 79.3±11.0mmHg,P<0.05);超重、肥胖患者电子血压计收缩压测量值均显著高于水银血压计(超重139.8±16.0 vs 134.9±14.7mmHg,P<0.05;肥胖145.9±16.9 vs 143.0±17.8mmHg,P<0.05)。结论:社区就诊人群中,糖尿病、高血压及肥胖者的电子血压计收缩压测量值高于水银血压计。2种血压计的收缩压测量值在测量误差允许范围内,臂式电子血压计可代替水银血压计用于血压测量。展开更多
文摘Background: In new outpatients, blood pressure should be measured in both arms. A previous study reported that an inter-arm systolic blood pressure difference (ΔSBP) of ≥10 mm Hg is associated with an increased risk of mortality. Aim: The aim was to identify the associations with absolute values of ΔSBP (|ΔSBP|) ≥10 mm Hg. Subjects and Methods: This study included 2481 patients. Patients with a body mass index ≥25 kg/m<sup>2</sup> were defined as obese. The group of A was defined as following: ankle-brachial index (ABI) was <0.9 or ≥1.3. ΔSBP was expressed as right arm BP minus left arm BP. |ΔSBP| ≥10 mm Hg were analyzed using multivariate logistic analysis. Results: |ΔSBP| ≥10 mm Hg was found in 6.0% of patients and |ΔSBP| < 5 mm Hg in 80.4%. In multivariate analysis, the odds ratios (ORs) of the associations with |ΔSBP| ≥10 mm Hg were significantly associated with abnormal ABI and obesity regardless of sex and age. Moreover, the OR of the combined effects of abnormal ABI and obesity was higher than that of abnormal ABI and obesity alone. Conclusion: |ΔSBP| ≥10 mm Hg was associated with abnormal ABI and obesity. In a primary care setting, blood pressure should be actively measured in both arms. This study suggests that the associations with |ΔSBP| ≥10 mm Hg may be a useful part of screening for abnormal ABI.
文摘目的:在社区医院就诊者中探讨臂式电子血压计与台式水银血压计的测量值有无差异。方法:连续纳入太阳宫社区卫生服务中心门诊就诊患者200例,分别用臂式电子血压计和台式水银血压计测量同侧上臂血压,比较两者测量的血压值。并对高血压、糖尿病、超重及肥胖患者的血压值差异进行分析比较。结果:电子与水银血压计的舒张压测量值差异无统计学意义(79.7±10.5 vs 79.8±10.2mmHg,P=0.96);电子血压计收缩压测量值显著高于水银血压计(140.7±18.5 vs 136.4±18.2mmHg,P<0.01),平均收缩压差值为4.4mmHg。糖尿病患者电子血压计收缩压和舒张压测量值均显著高于水银血压计(146.9±20.5 vs 142.5±20.4mmHg,P<0.05;79.6±11.7 vs 79.3±11.0mmHg,P<0.05);超重、肥胖患者电子血压计收缩压测量值均显著高于水银血压计(超重139.8±16.0 vs 134.9±14.7mmHg,P<0.05;肥胖145.9±16.9 vs 143.0±17.8mmHg,P<0.05)。结论:社区就诊人群中,糖尿病、高血压及肥胖者的电子血压计收缩压测量值高于水银血压计。2种血压计的收缩压测量值在测量误差允许范围内,臂式电子血压计可代替水银血压计用于血压测量。
