Correlating the relationship between interarm systolic blood pressure and cardiovascular disease risk factors

J Clin Hypertens (Greenwich). 2017 May;19(5):466-471. doi: 10.1111/jch.12987. Epub 2017 Mar 14.

Abstract

Interarm systolic blood pressure difference (IASBPD) can predict cardiovascular disease. To investigate the relationship between IASBPD and cardiovascular disease risk factors, a total of 1426 individuals were studied. Blood pressure was assessed simultaneously and IASBPD was expressed as the absolute difference value (|R-L|). Cardiovascular disease risk factors were compared between the high IASBPD group (IASBPD ≥10 mm Hg) and the normal IASBPD group (IASBPD <10 mm Hg). An increased prevalence of hypertension, body mass index, and systolic and diastolic blood pressure were observed in the high IASBPD group (P<.05), associated with the enhanced mean values of intima-media thickness and maximum intima-media thickness (P<.05). Brachial-ankle pulse wave velocity was increased, while ankle-brachial index was lower in the high IASBPD group (P<.05). Multivariate logistic regression analysis revealed that IASBPD ≥10 mm Hg was positively associated with body mass index (odds ratio, 1.077; P=.002) and systolic blood pressure (odds ratio, 1.032; P<.001), and negatively associated with ankle-brachial index (odds ratio, 0.038; P<.001).

Keywords: ABI; BMI; blood pressure difference; hypertension.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Ankle Brachial Index / instrumentation*
  • Arm / blood supply*
  • Blood Pressure / physiology*
  • Blood Pressure Determination / methods*
  • Body Mass Index
  • Cardiovascular Diseases / complications*
  • Cardiovascular Diseases / epidemiology
  • Cardiovascular System / physiopathology
  • Carotid Arteries / diagnostic imaging
  • Carotid Intima-Media Thickness / instrumentation
  • Female
  • Humans
  • Hypertension / epidemiology
  • Hypertension / physiopathology*
  • Male
  • Middle Aged
  • Prevalence
  • Pulse Wave Analysis / methods*
  • Risk Factors
  • Systole / physiology
  • Ultrasonography / instrumentation