Inter-arm Blood Pressure difference in Women with pregnancy induced hypertension and its clinical significance- A Prospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
The present study was carried out to assess the prevalence and the effect of significant blood pressure difference between the right and left arms in patients with Pregnancy induced hypertension.. The effects were measured in terms of feto- maternal outcomes .Of total of 162 subjects were studied, 112 had mild preeclampsia and 50 had severe pre eclampsia. Among these patients significant systolic blood pressure difference was observed in 41 subjects, and significant diastolic blood pressure difference was observed in 51 subjects between the arms. The right arm has higher systolic blood pressures in 26 subjects, and higher diastolic blood pressures in 30 subjects. Left arm has higher systolic blood pressures in 15 subjects and higher diastolic blood pressures in 21 subjects (25 and 31% respectively). Thus the results of this study emphasize the need for measurement of blood pressure measurements in both arms to prevent under diagnosis of hypertension and it is preferable to record blood pressure right arm if single arm is used in order to not to miss hyper tension. There were statistically significant differences in occurrence of PPH and caesarean section and IUGR when here was significant difference in the diastolic blood pressure between the arms warranting enhanced care in such a situation.
Authors and Affiliations
V. Venkata Narayana, G. Tejaswini, P. A. Chandrasekharan
Keywords
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- EP ID EP554117
- DOI 10.9790/0853-1803030508.
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