Association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy.
An interarm systolic blood pressure (SBP) difference of 10 mmHg or more have been associated with peripheral artery disease and adverse cardiovascular outcomes. We investigated whether an association exists between this difference and ankle-brachial index (ABI), brachial-ankle pulse wave velocity (b...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2012-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC3426512?pdf=render |
| _version_ | 1818956635077345280 |
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| author | Ho-Ming Su Tsung-Hsien Lin Po-Chao Hsu Chun-Yuan Chu Wen-Hsien Lee Szu-Chia Chen Chee-Siong Lee Wen-Chol Voon Wen-Ter Lai Sheng-Hsiung Sheu |
| author_facet | Ho-Ming Su Tsung-Hsien Lin Po-Chao Hsu Chun-Yuan Chu Wen-Hsien Lee Szu-Chia Chen Chee-Siong Lee Wen-Chol Voon Wen-Ter Lai Sheng-Hsiung Sheu |
| author_sort | Ho-Ming Su |
| collection | DOAJ |
| description | An interarm systolic blood pressure (SBP) difference of 10 mmHg or more have been associated with peripheral artery disease and adverse cardiovascular outcomes. We investigated whether an association exists between this difference and ankle-brachial index (ABI), brachial-ankle pulse wave velocity (baPWV), and echocardiographic parameters. A total of 1120 patients were included in the study. The bilateral arm blood pressures were measured simultaneously by an ABI-form device. The values of ABI and baPWV were also obtained from the same device. Clinical data, ABI<0.9, baPWV, echocariographic parameters, and an interarm SBP difference ≥10 mmHg were compared and analyzed. We performed two multivariate forward analyses for determining the factors associated with an interarm SBP difference ≥10 mmHg [model 1: significant variables in univariate analysis except left ventricular mass index (LVMI); model 2: significant variables in univariate analysis except ABI<0.9 and baPWV]. The ABI<0.9 and high baPWV in model 1 and high LVMI in model 2 were independently associated with an interarm SBP difference ≥10 mmHg. Female, hypertension, and high body mass index were also associated with an interarm SBP difference ≥10 mmHg. Our study demonstrated that ABI<0.9, high baPWV, and high LVMI were independently associated with an interarm SBP difference of 10 mmHg or more. Detection of an interarm SBP difference may provide a simple method of detecting patients at increased risk of atherosclerosis and left ventricular hypertrophy. |
| first_indexed | 2024-12-20T10:57:05Z |
| format | Article |
| id | doaj.art-61db53cc4e014f9a8acc966e055683a2 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-20T10:57:05Z |
| publishDate | 2012-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-61db53cc4e014f9a8acc966e055683a22022-12-21T19:43:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0178e4117310.1371/journal.pone.0041173Association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy.Ho-Ming SuTsung-Hsien LinPo-Chao HsuChun-Yuan ChuWen-Hsien LeeSzu-Chia ChenChee-Siong LeeWen-Chol VoonWen-Ter LaiSheng-Hsiung SheuAn interarm systolic blood pressure (SBP) difference of 10 mmHg or more have been associated with peripheral artery disease and adverse cardiovascular outcomes. We investigated whether an association exists between this difference and ankle-brachial index (ABI), brachial-ankle pulse wave velocity (baPWV), and echocardiographic parameters. A total of 1120 patients were included in the study. The bilateral arm blood pressures were measured simultaneously by an ABI-form device. The values of ABI and baPWV were also obtained from the same device. Clinical data, ABI<0.9, baPWV, echocariographic parameters, and an interarm SBP difference ≥10 mmHg were compared and analyzed. We performed two multivariate forward analyses for determining the factors associated with an interarm SBP difference ≥10 mmHg [model 1: significant variables in univariate analysis except left ventricular mass index (LVMI); model 2: significant variables in univariate analysis except ABI<0.9 and baPWV]. The ABI<0.9 and high baPWV in model 1 and high LVMI in model 2 were independently associated with an interarm SBP difference ≥10 mmHg. Female, hypertension, and high body mass index were also associated with an interarm SBP difference ≥10 mmHg. Our study demonstrated that ABI<0.9, high baPWV, and high LVMI were independently associated with an interarm SBP difference of 10 mmHg or more. Detection of an interarm SBP difference may provide a simple method of detecting patients at increased risk of atherosclerosis and left ventricular hypertrophy.http://europepmc.org/articles/PMC3426512?pdf=render |
| spellingShingle | Ho-Ming Su Tsung-Hsien Lin Po-Chao Hsu Chun-Yuan Chu Wen-Hsien Lee Szu-Chia Chen Chee-Siong Lee Wen-Chol Voon Wen-Ter Lai Sheng-Hsiung Sheu Association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy. PLoS ONE |
| title | Association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy. |
| title_full | Association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy. |
| title_fullStr | Association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy. |
| title_full_unstemmed | Association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy. |
| title_short | Association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy. |
| title_sort | association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy |
| url | http://europepmc.org/articles/PMC3426512?pdf=render |
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