Inter- arm differences in measurement of Blood Pressure- A Clinical Study
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 10
Abstract
Background: It is a standard practice to measure non-invasive blood pressure (NIBP) in the perioperative setting using oscillotonometric equipment. Measuring blood pressure (BP) in both the arms and their difference (IADs) is recommended by numerous guidelines to be performed at each first visit. The present study was conducted to investigating the influence of methodology of BP measurement on the IAD value. Materials & Methods: This study was conducted in the department of Anesthesiology in year 2017. It included 1240 subjects of both genders. Both systolic and diastolic blood pressure of both the arms was recorded using sphygmomanometer and stethoscope. Results: Out of 1240 subjects, males were 680 and females were 560. The difference was non- significant (P-0.1). There are differences between groups separated for measurement methods (simultaneous vs. sequential measurements), device (manual vs. automatic) and the number of readings (1 vs. 2 or more readings) used to determine IAD prevalence. The method of IAD performance had a significant influence on systolic (IAD ≥10 and 20 mm Hg) and diastolic (IAD ≥10) prevalence: sequential measurements led to a significant higher prevalence than simultaneous measurements (RR ranges from 2.4 to 4.6), the use of a manual BP device led to a significant higher prevalence than when using an automated device (RR ranges from 2.2 to 4.2). However, there was a strong relationship between devices and measurement methods: all, except one, simultaneous measurements were performed with automated devices. Conclusion: Method used for blood pressure evaluation has major influence on IAD differences. Blood pressure should be measured in both the arms to prevent overestimation and observer bias with one or two automatic devices and multiple readings should be taken.
Authors and Affiliations
Vivek Mahajan, Shailja Gupta
Keywords
Related Articles
- EP ID EP557182
- DOI -
- Views 111
- Downloads 0
ASSESSMENT OF EMOTIONAL INTELLIGENCE IN HYPERTENSIVE ADULTS AND NORMAL ADULTS: A COMPARATIVE STUDY
Background: Hypertension is viewed as one of the most elevated reasons for mortality and morbidity; and one of the fundamental driving foundations for cardiovascular disease. Emotional intelligence means the limit of the...
PROSPECTIVE STUDY COMPARING SINGLE-AGENT VERSUS DOUBLET-AGENT CONCURRENT CHEMORADIOTHERAPY IN LOCALLY ADVANCED ORAL CAVITY AND OROPHARYNGEAL SQUAMOUS CELL CARCINOMA
Introduction: Concurrent chemoradiotherapy is the standard treatment for locoregionally advanced oropharyngeal and unresectable oral-cavity cancers. This study aims to make a comparative analysis of the efficacy and toxi...
ASSESSMENT OF LONGITUDINAL CHANGES IN GINGIVAL CREVICULAR FLUID AFTER PLACEMENT OF FIXED ORTHODONTIC APPLIANCES
Background: Orthodontic compounds are produced using different metals, among which chromium and nickel are of significant concern. Both of these genotoxic, mutagenic, and cytotoxic metals may instigate contact sensitivit...
Comparative Assessment of Nutritional Status of Patients using Conventional Complete Denture and Implant Supported Overdenture
Background: The satisfaction rate of completely edentulous patients has been reported to be 70%. The rest 30% patients have complaints with their dentures regarding inadequate stability and retention especially for lower...
Assessing the Medical Health Statistics of Patients in a Dental Institute
Objective: The study was planned for assessing the medical complications of patients in a dental OPD (Outpatient department). Methods: A total of 1260 patients were included in the study further divided into different ag...