ArticleJournal of human hypertension2007
The interarm blood pressure difference as predictor of cardiovascular events in patients with hypertension in primary care: cohort study.
Article in Journal of human hypertension, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sources of inaccuracy in the measurement of adult patients' resting blood pressure in clinical settings: a systematic review.Journal of hypertension · 2017Pooled it
- Significant interarm blood pressure difference predicts cardiovascular risk in hypertensive patients: CoCoNet study.Medicine · 2016Trial
- Impact of weight loss on ankle-brachial index and interartery blood pressures.Obesity (Silver Spring, Md.) · 2014Trial
- Association of mortality with longitudinal changes in right- and left-arm blood pressure discrepancies among hypertensive adults.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Article
- The Critical Role of Community Pharmacists in Blood Pressure Monitoring.Medical science monitor : international medical journal of experimental and clinical research · 2024Review
- Association of interarm blood pressure difference with selected body circumferences among Walter Sisulu University community.BMC public health · 2024Article
- Non-invasive hemodynamic diagnosis based on non-linear pulse wave theory applied to four limbs.Frontiers in bioengineering and biotechnology · 2023Article
- Systolic inter-arm blood pressure difference and estimated glomerular filtration rate in type 2 diabetic patients in Palestine: a cross-sectional study.Annals of medicine · 2023Article
- Inter-arm difference in systolic blood pressure: Prevalence and associated factors in an African population.PloS one · 2022Article
- The Association of Body Composition Parameters and Simultaneously Measured Inter-Arm Systolic Blood Pressure Differences.Medicina (Kaunas, Lithuania) · 2021Article
- Article
- Lack of Association between Interarm Systolic Blood Pressure Difference and Coronary Artery Disease in Patients Undergoing Elective Coronary Angiography.International journal of hypertension · 2021Article
- Characterizing Agreement in the Level of Interarm Blood Pressure Readings of Adults in the Emergency Department (CALIBRATE Study).Qatar medical journal · 2020Article
- [Research on the cardiovascular function evaluation system based on noninvasive detection indices].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2019Article
- Association of interarm blood pressure difference with cardio-cerebral vascular disease: A community-based, cross-sectional study.Journal of clinical hypertension (Greenwich, Conn.) · 2019Article
- Significance of the combination of inter-limb blood pressure differences in the elderly: The Northern Shanghai Study.Journal of clinical hypertension (Greenwich, Conn.) · 2019Article
- Association of simultaneously measured four-limb blood pressures with cardiovascular function: a cross-sectional study.Biomedical engineering online · 2016Article
- Association of Inter-arm Blood Pressure Difference with Asymptomatic Intracranial and Extracranial Arterial Stenosis in Hypertension Patients.Scientific reports · 2016Article
- Inter-Arm Difference in Brachial Blood Pressure in the General Population of Koreans.Korean circulation journal · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives of this study were to measure the prevalence of a difference in blood pressure (BP) between arms and determine whether a difference is associated with increased risk of cardiovascular events or death. A prospective cohort study of 247 patients with hypertension was undertaken in one rural general practice in England. The main outcome measures were mean difference in BP between arms and new episodes of myocardial infarction, cerebrovascular event, onset of angina or peripheral vascular disease or death. A total of 57/247 (23%) patients had a mean difference in systolic BP between arms of >or=10 mm Hg and 8/247 (3%) had a mean difference of >or=20 mm Hg. A total of 15/247 (6%) patients had a mean difference in diastolic BP between arms of >or=10 mm Hg. Survival analysis after 4.7 years (range 3.3-5.9) showed a shorter mean survival time without event or death for patients with a difference in systolic BP of >or=10 mm Hg compared with a difference of <10 mm Hg (3.7 (95% confidence interval, 3.2-4.2) versus 4.8 (4.6-5.1) years; P<0.001; hazard ratio 2.5 (1.5-4.2), P=0.001). Difference in systolic BP of >or=10 mm Hg between arms is common in this primary care population and is associated with a shorter survival time to death or new cardiovascular event. Detection of a difference between arms may identify hypertensive patients at increased risk of cardiovascular events. Such an approach would allow more effective targeting of resources in primary prevention strategies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.