31Jul 2016

The discrepancy in blood pressure values between both arms in individuals with hypertension and other cardiovascular defects.

  • Department of Internal Medicine, College of Medicine, Wasit University, Wasit, Iraq.
  • Department of Pathology and ForensicMedicine, College of Medicine, Wasit University, Wasit, Iraq.
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Usually differences in blood pressure between arms are associated with vascular disease, hypertension and increased mortality. Also the hypertension is one of the major causes of premature morbidity and mortality throughout the developed and developing worlds. We explored these relations in current study.Our study involved 59 case (43 male and 16 female) with age between (17-35) years old, age mean ± SD (23.6949 ± 4.94192), were diagnosed as follows (41 with hypertension, 16 with hypertension and left ventricle hypertrophy, 1 with hypertension and bicuspid aortic valve and aortic coarctation, and 1 with hypertension and aortic coarctation), also the radiofemoral delay was positive in cases with aortic coarctation.The results shownstatically significance among sex group (P=0.004). Also the statistical interpretation shown strong difference in the BP measurements between both hand (P = 0.000). On the other hand the results showed the frequencies of other cardiac and valvular problem that recorded by Echo. Study (41case was normal, 17case presented with LVH and 1case found with bicuspid aortic valve) at significance (P = 0.000). According to MRA study of aorta and its branches, our finding was (47 case was normal and 2 case was presented with aortic coarctation) and the P value was (P = 0.000).In conclusions,differences of more than 10 mmHg inblood pressure recorded between arms are frequent in hypertensive individuals, also the association of discrepancy in blood pressure and other cardiovascular disease (aortic coarctation, bicuspid aortic valve and LVH) wasn’t seemed strong evidence in this study.


[Ahmed Basher. M and Ali S. Dawood. (2016); The discrepancy in blood pressure values between both arms in individuals with hypertension and other cardiovascular defects. Int. J. of Adv. Res. 4 (Jul). 1511-1515] (ISSN 2320-5407). www.journalijar.com


AHMED BASHER.M, ALI S. DAWOOD


DOI:


Article DOI: 10.21474/IJAR01/992      
DOI URL: https://dx.doi.org/10.21474/IJAR01/992