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首页> 外文期刊>Journal of Clinical Medicine Research >Impact of the Absolute Difference in Diastolic Blood Pressure Between Arms in Patients With Coronary Artery Disease
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Impact of the Absolute Difference in Diastolic Blood Pressure Between Arms in Patients With Coronary Artery Disease

机译：冠状动脉疾病患者手臂之间舒张压绝对差异的影响

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Background: We investigated the relationship between the severity and presence of coronary artery disease (CAD) and a difference in systolic and diastolic blood pressure (SBP and DBP) between arms or between lower limbs.Methods: We enrolled 277 patients who underwent coronary angiography. We calculated the absolute (|right BP (rt. BP) - left BP (lt. BP)|) and relative (rt. BP - lt. BP) differences in SBP or DBP between arms or between lower limbs, and assessed the severity of CAD in terms of the Gensini score.Results: The absolute difference in DBP between arms in the CAD group was significantly lower than that in the non-CAD group, whereas the absolute difference in DBP between lower limbs in the CAD group was significantly higher. There were no differences in the absolute or relative difference in SBP between arms or lower limbs between the groups. The absolute difference in DBP between arms decreased as the Gensini score increased. In a logistic regression analysis, the presence of CAD was independently associated with the absolute difference in DBP between arms, in addition to male, family history, dyslipidemia, diabetes mellitus and hypertension.Conclusion: The absolute difference in DBP between arms in addition to traditional factors may be a critical risk factor for the presence of CAD.J Clin Med Res. 2015;7(11):873-879doi: http://dx.doi.org/10.14740/jocmr2330w
机译：背景：我们调查了冠状动脉疾病（CAD）的严重程度和存在与手臂之间或下肢之间的收缩压和舒张压（SBP和DBP）差异之间的关系。方法：我们纳入了277例接受冠状动脉造影的患者。我们计算了两臂之间或下肢之间的SBP或DBP的绝对值（| right BP（rt。BP）-left BP（lt。BP）|）和相对值（rt。BP-lt。BP），并评估了严重程度结果：CAD组各臂间DBP的绝对差异显着低于非CAD组，而CAD组下肢间DBP的绝对差异显着更高。两组之间手臂或下肢的SBP绝对或相对差异无差异。随着Gensini分数的增加，两臂间DBP的绝对差异减小。在Logistic回归分析中，除了男性，家族史，血脂异常，糖尿病和高血压外，CAD的存在还与臂间DBP的绝对差异独立相关。结论：除传统方法外，臂间DBP的绝对差异因素可能是存在CAD的关键危险因素。JClin Med Res。 2015; 7（11）：873-879doi：http：//dx.doi.org/10.14740/jocmr2330w

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