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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Inter-arm Systolic Blood Pressure Difference: A Surrogate for Diagnosis of Peripheral Arterial Disease
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Inter-arm Systolic Blood Pressure Difference: A Surrogate for Diagnosis of Peripheral Arterial Disease

机译：臂间收缩压差：外周动脉疾病的替代诊断

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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.
机译：血压（BP）的单臂测量通常在临床实践中进行。臂间BP的显着差异与心血管疾病的各种危险因素有关。外周动脉疾病（PAD）的患病率很高，但对该疾病及其症状的认识却相对较低。目的：评估患病率无心血管危险因素的人的臂间血压差异的研究，并将臂间BP差异与有症状和无症状的外周动脉疾病相关。材料与方法：这是一项比较研究，涉及260名受试者在40-70岁年龄段参加。测量收缩压（SBP）臂间差异，并进行SBP臂间差异（IAD），非侵入性多普勒检查以诊断PAD。结果使用t检验进行分析。结果：发现33.08％（260名患者中的86名）受试者的臂间SBP差异高于10 mmHg。被诊断出患有PAD的受试者总数为33.84％（260名中有88名）。 IAD患者发生PAD的几率比无IAD患者高102.6倍{OR = 102.6（42.46-247.94）}。 IAD为15-20 mmHg的患者发生PAD的几率比IAD 10-15 mmHg的患者高6.53倍{OR = 6.53（1.49-28.57）}。 SBP中的IAD与PAD显着相关。结论：早期诊断PAD很重要，而且在两个臂上测量BP也是筛查具有PAD危险因素的患者的经济有效的工具之一。

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