지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 98 - 106 (9page)
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초록· 키워드
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Background: It has traditionally been known that there is normally a difference in blood pressure (BP) between the two arms; there is at least 20 mm Hg difference in the systolic blood pressure (SBP) and 10 mm Hg difference in the diastolic blood pressure (DBP). However, recent epidemiologic studies have shown that there are between-arm differences of <5 mm Hg in simultaneous BP measurements. The purposes of this study is to examine whether there are between-arm differences in simultaneous BP measurements obtained from ambulatory patients without cardiovascular diseases and to identify the factors associated these differences.
Methods: We examined 464 patients who visited the outpatient clinic of Gangneung Asan Hospital clinical department.
For the current analysis, we excluded patients with ischemic heart disease, stroke, arrhythmia, congestive heart failure, or hyperthyroidism. Simultaneous BP measurements were obtained using the Omron MX3 BP monitor in both arms. The inter-arm difference (IAD) in BP was expressed as the relative difference (right-arm BP [R] minus left-arm BP [L]: R - L)and the absolute difference (|R - L|).
Results: The mean absolute IAD in SBP and DBP were 3.19 ± 2.38 and 2.41 ± 1.59 mm Hg, respectively, in men and 2.61 ± 2.18and 2.25 ± 2.01 mm Hg, respectively, in women. In men, there were 83.8% of patients with the IAD in SBP of ≤ 6 mm Hg,98.1% with the IAD in SBP of ≤ 10 mm Hg, 96.5% with the IAD in DBP of ≤ 6 mm Hg and 0% with the IAD in DBP of > 10mm Hg. In women, 89.6% of patients had IAD in SBP of ≤ 6 mm Hg, 92.1% with IAD in DBP of ≤ 6 mm Hg, and 0% with IAD in SBP of > 10 mm Hg or IAD in DBP of > 10 mm Hg. Gangneung Asan Hospital clinical series of patients showed that the absolute IAD in SBP had a significant correlation with cardiovascular risk factors such as the 10-year Framingham cardiac risk scores and higher BP in men and higher BP in women. However, the absolute IAD in SBP and DBP had no significant correlation with the age, obesity, smoking, drinking, hyperlipidemia, diabetes, metabolic syndrome, and renal function.
Conclusion: Our results showed that there were no significant between-arm differences in simultaneous BP measurements.
It was also shown that most of the ambulatory patients without cardiovascular diseases had an IAD in SBP of < 10 mm Hg and an IAD in DBP of < 6 mm Hg.
목차
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참고문헌 (17)
참고문헌 신청
Agarwal R / 2008 / Prognostic significance of between-arm blood pressure differences / Hypertension 51 : 657 ~ 662
Arnett DK / 2005 / Interarm differences in seated systolic and diastolic blood pressure: the Hypertension Genetic Epidemiology Network study / J Hypertens 23 : 1141 ~ 1147
Chobanian AV / 2003 / The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report / JAMA 2
Clark CE / 2002 / The differential blood pressure sign in general practice: prevalence and prognostic value / Fam Pract 19 : 439 ~ 441
Clark CE / 2006 / Prevalence and clinical implications of the inter-arm blood pressure difference: a systematic review / J Hum Hypertens 20 : 923 ~ 931
Arnett DK / 2005 / Interarm differences in seated systolic and diastolic blood pressure: the Hypertension Genetic Epidemiology Network study / J Hypertens 23 : 1141 ~ 1147
Chobanian AV / 2003 / The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report / JAMA 2
Clark CE / 2002 / The differential blood pressure sign in general practice: prevalence and prognostic value / Fam Pract 19 : 439 ~ 441
Clark CE / 2006 / Prevalence and clinical implications of the inter-arm blood pressure difference: a systematic review / J Hum Hypertens 20 : 923 ~ 931
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