Trial reportJournal of clinical hypertension (Greenwich, Conn.)2013
Simultaneous compared with sequential blood pressure measurement results in smaller inter-arm blood pressure differences.
Trial report in Journal of clinical hypertension (Greenwich, Conn.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses 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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Association of an inter-arm systolic blood pressure difference with all-cause and cardiovascular mortality: A meta-analysis of cohort studies.Journal of clinical hypertension (Greenwich, Conn.) · 2023Pooled it
- Prevalence of systolic inter-arm differences in blood pressure for different primary care populations: systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Pooled it
- Systolic inter-arm blood pressure difference and subclinical atherosclerosis: a population-based cohort study of 29 921 individuals.Journal of hypertension · 2026Article
- Article
- Clinical Impact of 3- Vs. 5-Minute Delay and 30- Vs. 60-Second Intervals on Unattended Automated Office Blood Pressure Measurements.American journal of hypertension · 2025Article
- Non-invasive hemodynamic diagnosis based on non-linear pulse wave theory applied to four limbs.Frontiers in bioengineering and biotechnology · 2023Article
- [Interarm blood pressure difference: Concordance between two methods of automatic simultaneous measurement and between visits reproducibility].Atencion primaria · 2022Review
- Comparison of supine and seated orthostatic hypotension assessments and their association with falls and orthostatic symptoms.Journal of the American Geriatrics Society · 2022Article
- Clinical relevance of double-arm blood pressure measurement and prevalence of clinically important inter-arm blood pressure differences in Indian primary care.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Could the arm blood pressure measured with simultaneous bilateral arm method be used for hypertension diagnosis?BMJ open · 2020Article
- Characterizing Agreement in the Level of Interarm Blood Pressure Readings of Adults in the Emergency Department (CALIBRATE Study).Qatar medical journal · 2020Article
- Interarm Difference in Systolic Blood Pressure in Different Ethnic Groups and Relationship to the "White Coat Effect": A Cross-Sectional Study.American journal of hypertension · 2017Observational
- Association of Inter-Arm Systolic Blood Pressure Difference with Coronary Atherosclerotic Disease Burden Using Calcium Scoring.Yonsei medical journal · 2017Article
- Association of simultaneously measured four-limb blood pressures with cardiovascular function: a cross-sectional study.Biomedical engineering online · 2016Article
- Inter-Arm Blood Pressure Differences May Be Important for Predicting Mortality.Journal of clinical hypertension (Greenwich, Conn.) · 2016Article
- Modalities of Invasive Arterial Pressure Monitoring in Critically Ill Patients: A Prospective Observational Study.Medicine · 2015Observational
- Inter-arm blood pressure difference in hospitalized elderly patients--is it consistent?Journal of clinical hypertension (Greenwich, Conn.) · 2014Article
- Inter-arm blood pressure differences in aviators: is it important?Journal of clinical hypertension (Greenwich, Conn.) · 2014Article
- Inter-arm blood pressure difference.Journal of clinical hypertension (Greenwich, Conn.) · 2013Article
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There are currently few recommendations on how to assess inter-arm blood pressure (BP) differences. The authors compared simultaneous with sequential measurement on mean BP, inter-arm BP differences, and within-visit reproducibility in 240 patients stratified according to age (<50 or ≥60 years) and BP (<140/90 mm Hg or ≥140/90 mm Hg). Three simultaneous and three sequential BP measurements were taken in each patient. Starting measurement type and starting arm for sequential measurements were randomized. Mean BP and inter-arm BP differences of the first pair and reproducibility of inter-arm BP differences of the first and second pair were compared between both methods. Mean systolic BP was 1.3±7.5 mm Hg lower during sequential compared with simultaneous measurement (P<.01). However, the first sequential measurement was on average higher than the second, suggesting an order effect. Absolute systolic inter-arm BP differences were smaller on simultaneous (6.2±6.7/3.3±3.5 mm Hg) compared with sequential BP measurement (7.8±7.3/4.6±5.6 mm Hg, P<.01 for both). Within-visit reproducibility was identical (both r=0.60). Simultaneous measurement of BP at both arms reduces order effects and results in smaller inter-arm BP differences, thereby potentially reducing unnecessary referral and diagnostic procedures.
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