Journal of IMAB
Publisher: Peytchinski Publishing Ltd.
ISSN:
1312-773X (Online)
Issue:
2024, vol. 30, issue3
Subject Area:
Public Health
-
DOI:
10.5272/jimab.2024303.5748
Published online: 26 September 2024
Original article
J of IMAB. 2024 Jul-Sep;30(3):5748-5753
STUDY OF THE DIFFERENCES IN THE ARTERIAL BLOOD PRESSURE VALUES IN HEALTHY PEOPLE MEASURED SIMULTANEOUSLY ON LEFT AND RIGHT ARMS
Mariana Bacheva


, Rosica Doynovska
,
Department of Healthcare Services, Faculty of Public Health, Health Care, and Sport, Southwestern University "Neofit Rilski", Blagoevgrad, Bulgaria.
ABSTRACT:
Arterial blood pressure measurement constitutes a fundamental aspect of nursing practice. The clinical significance of this measurement lies in its ability to assess systolic and diastolic blood pressure, which serve as crucial indicators of cardiovascular health and significant predictors of cardiovascular events.
The purpose of the study is to investigate the difference in arterial pressure values after simultaneous measurement of the left and right arm in healthy people.
Materials and methods. Data from 160 volunteers, including 125 healthy individuals (men and women), were analyzed. The mean age of the participants was 38.72±12.134 years, with 54 (43.2%) male and 71 (56.8%) female participants.
Results. The subjects demonstrated normal blood pressure values. Statistically significant differences were found between systolic pressure (SBP) of the right and left arm (p=0.05), between diastolic pressure (DBP) of the right and left arm (p=0.05), as well as a difference in measurements between men and women. Absolute differences in systolic blood pressure between the two arms in healthy subjects were 2.184 ± 8.960 mmHg at (t |124| = 2,726, p =0.007). The mean absolute difference between the two diastolic values was 0.880 ± 6.474 mmHg at (t|124|= 1.520, p=0.1315), respectively. The influence of various risk factors on these differences has been established. A relationship was established with gender, age, alcohol use, smoking, weight (BMI).
Conclusions. No significant disparity was observed between bilateral systolic blood pressure measurements in healthy individuals. The findings indicate a minimal difference in arterial pressure measured simultaneously in both arms of healthy subjects (5 mmHg). However, these results are reliable and may serve as an indicator of heightened cardiovascular risk.
Keywords: blood pressure, systole, diastole, inter-arm differences in blood pressure, nursing,
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Please cite this article as: Bacheva M, Doynovska R. Study of the differences in the arterial blood pressure values in healthy people measured simultaneously on left and right arms. J of IMAB. 2024 Jul-Sep;30(3):5748-5753. [Crossref - 10.5272/jimab.2024303.5748]
Correspondence to: Mariana Bacheva, Department of Healthcare Services, Faculty of Public Health, Health Care, and Sport, Southwestern University "Neofit Rilski", 66, Ivan Mihaylov St., Blagoevgrad 2700, Bulgaria; E-mail: bachewa@swu.bg
REFERENCES:
1. Clark CE, Taylor RS, Shore AC, Campbell JL. The difference in blood pressure readings between arms and survival: primary care cohort study. BMJ. 2012 Mar 20;344:e1327. [PubMed]
2. Pesola GR, Pesola HR, Lin M, Nelson MJ, Westfal RE. The normal difference in bilateral indirect blood pressure recordings in hypertensive individuals. Acad Emerg Med. 2002 Apr;9(4):342-5. [PubMed]
3. Glass A, Mendelson G, Ben Natan M. Comparison of two fall-risk assessment tools used in a long-term care facility. Int J Health Care Qual Assur. 2020 Mar 24;ahead-of-print. [PubMed]
4. van der Hoeven NV, Lodestijn S, Nanninga S, van Montfrans GA, van den Born BJ. Simultaneous compared with sequential blood pressure measurement results in smaller inter-arm blood pressure differences. J Clin Hypertens (Greenwich). 2013 Nov;15(11):839-44. [PubMed]
5. Jiang J, Liu M, Parvez F, Wang B, Wu F, Eunus M, et al. Association of major dietary patterns and blood pressure longitudinal change in Bangladesh. J Hypertens. 2015 Jun;33(6):1193-200. [PubMed]
6. Jiang J, Ni L, Zhang X, Gokulnath P, Vulugundam G, Li G, et al. Moderate-Intensity Exercise Maintains Redox Homeostasis for Cardiovascular Health. Adv Biol (Weinh). 2023 Apr;7(4):e2200204. [PubMed]
7.Chan Q, Wren GM, Lau CE, Ebbels TMD, Gibson R, Loo RL, et al. Blood pressure interactions with the DASH dietary pattern, sodium, and potassium: The International Study of Macro-/Micronutrients and Blood Pressure (INTERMAP). Am J Clin Nutr. 2022 Jul 6;116(1):216-229. [PubMed]
8. Stamler J, Elliott P, Dennis B, Dyer AR, Kesteloot H, Liu K, et al. INTERMAP: background, aims, design, methods, and descriptive statistics (nondietary). J Hum Hypertens. 2003 Sep;17(9):591-608. [PubMed]
9. Torkamani A, Chen SF, Lee SE, Sadaei H, Park JB, Khattab A, et al. Meta-Prediction of Coronary Artery Disease Risk. Res Sq [Preprint]. 2023 Dec 20:rs.3.rs-3694374. [PubMed]
10. Vishram JK, Borglykke A, Andreasen AH, Jeppesen J, Ibsen H, Jørgensen T, et al.;MORGAM Project. Impact of age on the importance of systolic and diastolic blood pressures for stroke risk: the MOnica, Risk, Genetics, Archiving, and Monograph (MORGAM) Project. Hypertension. 2012 Nov;60(5):1117-23. [PubMed]
11. Pede S, Lombardo M. [Cardiovascular risk stratification. Systolic, diastolic or pulse pressure?] [in Italian] Ital Heart J Suppl. 2001 Apr;2(4):356-8. [ PubMed ]
12. Frank SM, Norris EJ, Christopherson R, Beattie C. Right- and left-arm blood pressure discrepancies in vascular surgery patients. Anesthesiology. 1991 Sep;75(3):457-63. [PubMed]
13. Fonseca-Reyes S, Forsyth-MacQuarrie AM, García de Alba-García JE. Simultaneous blood pressure measurement in both arms in hypertensive and nonhypertensive adult patients. Blood Press Monit. 2012 Aug;17(4):149-54. [PubMed]
14. Karagiannis A, Tziomalos K, Krikis N, Sfikas G, Dona K, Zamboulis C. The unilateral measurement of blood pressure may mask the diagnosis or delay the effective treatment of hypertension. Angiology. 2005 Sep-Oct;56(5):565-9. [PubMed]
15. Lane D, Beevers M, Barnes N, Bourne J, John A, Malins S, et al. Inter-arm differences in blood pressure: when are they clinically significant? J Hypertens. 2002 Jun;20(6):1089-95. [PubMed]
16. Mendelson G, Nassimiha D, Aronow WS. Simultaneous measurements of blood pressures in right and left brachial arteries. Cardiol Rev. 2004 Sep-Oct;12(5):276-8. [PubMed]
Received: 02 May 2024
Published online: 26 September 2024
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