Inter-arm Systolic Blood Pressure Difference: A Surrogate for Diagnosis of Peripheral Arterial Disease
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 5
Abstract
ABSTRACT Introduction: Single arm measurement of Blood Pressure (BP) is routinely done in clinical practice. Significant difference in the inter-arm BP is related to various risk factors of cardiovascular disease Prevalence of Peripheral Arterial Disease (PAD) is high, but the awareness about the disease and its symptoms are relatively low. Aim: To assess the prevalence of inter-arm difference in systolic blood pressure in people without any cardiovascular risk factors and to relate the inter-arm BP difference with both symptomatic and asymptomatic peripheral arterial disease. Materials and Methods: It was a comparative study in which 260 subjects in the age group of 40-70 years participated. Systolic Blood Pressure (SBP) inter-arm difference was measured and SBP Inter-Arm Difference (IAD), non-invasive Doppler test was done to diagnose PAD. The results were analysed using t-test. Results: It was found that 33.08% (86 out of 260) of the subjects had inter-arm SBP difference above 10 mmHg. The total number of subjects diagnosed with PAD were 33.84% (88 out of 260). The odds of patients with IAD to have PAD is 102.6 times higher than patients without IAD {OR=102.6 (42.46-247.94)}. The odds of patients with 15-20 mmHg IAD to have PAD was 6.53 times higher than patients with 10-15 mmHg IAD {OR=6.53 (1.49-28.57)}. IAD in SBP is significantly related to PAD. Conclusion: It is important to diagnose the PAD at the earlier stage and also measurement of BP on both the arms is one of the cost-effective tool for screening patients with risk factors for PAD.
Authors and Affiliations
K Senthil Kumar, VP Sundaravadivel, Saraswathi Ilango, K Madhan Srinivasan
Keywords
Related Articles
- EP ID EP582905
- DOI 10.7860/JCDR/2019/41080.12840
- Views 79
- Downloads 0
Sarcomatoid Lung Carcinoma-A Rare Entity
ABSTRACT Sarcomatoid Carcinoma (SARC) of lung is an uncommon poorly differentiated variant of lung cancer. It is biphasic neoplasm and combination of malignant epithelial and mesenchymal cells. Most of the cases are asso...
Bilateral Radicular Dens Invaginatus in Mandibular First Premolars-Report of Two Rare Cases
ABSTRACT Dens invaginatus is a developmental dental anomaly which is clinically seen as a furrow on the palatal aspect of the tooth either limiting to the coronal pulp or extending to the radicular apex. It occurs most c...
Efficacy of Structured Yoga Intervention for Sleep, Gastrointestinal and Behaviour Problems of ASD Children: An Exploratory Study
Introduction: Autism Spectrum Disorder (ASD) is a neuro developmental disorder which appears at early childhood age between 18 and 36 months. Apart from behaviour problems ASD children also suffer from sleep and Gastroin...
Soil Transmitted Helminth Infections and its Association with Haemoglobin Levels in India: A Meta-analysis
ABSTRACT Introduction: Soil Transmitted Helminth (STH) infections affect some of the poorest countries in the world. India is one of the most severely affected countries by these parasitic infections. They primarily affe...
Flat Foot in a Random Population and its Impact on Quality of Life and Functionality
Introduction: Flat foot is a common deformity in adults. It is characterized by medial rotation and plantar flexion of the talus, eversion of the calcaneus, collapsed medial arch and abduction of the forefoot. Aim: The a...