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 97
- Downloads 0
Synchronous Primary Dual Malignancy of Thyroid and Breast: A Case Report
Known triad of primary tumors presenting in a synchronous fashion is a proven entity, as in MEN syndrome, linked with specific genetic alterations. However synchronous occurrence of an invasive ductal carcinoma in the...
Nutritional Status of Children under 5 Years of age in Devdaha Municipality, Nepal- A Cross-Sectional Study
Introduction: Nutrition status of children under 5 years of age is a burning issue in world today. Malnutrition is major cause of childhood mortality and morbidity which can be prevented. Aims and objectives: To determin...
The Effect of repeated firing on the Color of Ceramic System with two Different Veneering Porcelain Shades
Statement of problem: Shade matching is an important property in fixed prosthodontics for achieving optimal esthetics. However, there is a lack of information on how color is affected by fabrication procedure. Purpose: T...
ASSOCIATION OF MUCOSITIS WITH VARIOUS PREDISPOSING FACTORS IN THE PATIENTS WHO UNDERWENT RADIOTHERAPY FOR HEAD AND NECK CANCERS- A HOSPITAL BASED STUDY
Background-The standard treatment for patients with locally advanced head neck cancer has been surgery followed by postoperative radiotherapy. Head and neck cancers are relatively chemo-sensitive. The concomitant adminis...
Correlation of Salivary Glucose and Blood Glucose Level in Diabetes Patients - A Clinical Study
Background: The estimation of diabetes mellitus may be done with blood investigations. Saliva is only one of its kind and curiosity in it as a diagnostic media has vastly developed. The present study was conducted to cor...