Article ; Online: Association between an elevated inter-arm systolic blood pressure difference, the ankle-brachial index, and mortality in patients with diabetes mellitus.
Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis
2020 Volume 32, Issue 3, Page(s) 94–100
Abstract: Objectives: To estimate the prevalence of an inter-arm blood pressure difference greater than 10mmHg in patients with type 2 diabetes, and the association of this measurement with the presence of a low ankle-brachial index and mortality at 5-year follow- ...
Abstract | Objectives: To estimate the prevalence of an inter-arm blood pressure difference greater than 10mmHg in patients with type 2 diabetes, and the association of this measurement with the presence of a low ankle-brachial index and mortality at 5-year follow-up. Method: A validated blood pressure measurement protocol was used. The blood pressure was calculated for each arm to obtain mean systolic differences. Peripheral arterial disease was confirmed by an ankle-arm index less than 0.9. The medical history of the patient was reviewed in the computerized clinical notes after 5 years of follow-up. Results: The study included 139 patients with a mean age of 70.1 years (49% male), and a mean duration of diabetes mellitus of 10.8 years. A total of 50 (36%) patients had an inter-arm systolic blood pressure difference greater than 10mmHg. Patients with an inter-arm systolic blood pressure greater than 10mmHg had lower ankle-arm index (0.91±0.30 vs. 1.04±0.28, P=0.005), and higher mortality rates from all causes (48.0% vs. 28.9%; hazard ratio 1.64; 95% confidence interval: 1.06-2.53; P=0.03), compared with those with lower inter-arm systolic blood pressure difference. Conclusion: A high proportion of patients with type 2 diabetes have an elevated systolic blood pressure difference between arms. A significant relationship was found between elevated inter-arm systolic blood pressure difference, lower ankle-brachial index and greater all-cause mortality. |
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MeSH term(s) | Aged ; Aged, 80 and over ; Ankle Brachial Index/methods ; Arm ; Blood Pressure/physiology ; Blood Pressure Determination/methods ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/mortality ; Female ; Follow-Up Studies ; Humans ; Hypertension/diagnosis ; Hypertension/epidemiology ; Male ; Middle Aged ; Prospective Studies |
Language | Spanish |
Publishing date | 2020-02-07 |
Publishing country | Spain |
Document type | Journal Article |
ISSN | 1578-1879 |
ISSN (online) | 1578-1879 |
DOI | 10.1016/j.arteri.2019.11.003 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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