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Impact of the Absolute Difference in Diastolic Blood Pressure Between Arms in Patients With Coronary Artery Disease

BACKGROUND: We investigated the relationship between the severity and presence of coronary artery disease (CAD) and a difference in systolic and diastolic blood pressure (SBP and DBP) between arms or between lower limbs. METHODS: We enrolled 277 patients who underwent coronary angiography. We calcul...

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Autores principales: Hitaka, Yuka, Miura, Shin-ichiro, Koyoshi, Rie, Shiga, Yuhei, Miyase, Yuiko, Norimatsu, Kenji, Nakamura, Ayumi, Adachi, Sen, Kuwano, Takashi, Sugihara, Makoto, Ike, Amane, Nishikawa, Hiroaki, Saku, Keijiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4596269/
https://www.ncbi.nlm.nih.gov/pubmed/26491500
http://dx.doi.org/10.14740/jocmr2330w
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author Hitaka, Yuka
Miura, Shin-ichiro
Koyoshi, Rie
Shiga, Yuhei
Miyase, Yuiko
Norimatsu, Kenji
Nakamura, Ayumi
Adachi, Sen
Kuwano, Takashi
Sugihara, Makoto
Ike, Amane
Nishikawa, Hiroaki
Saku, Keijiro
author_facet Hitaka, Yuka
Miura, Shin-ichiro
Koyoshi, Rie
Shiga, Yuhei
Miyase, Yuiko
Norimatsu, Kenji
Nakamura, Ayumi
Adachi, Sen
Kuwano, Takashi
Sugihara, Makoto
Ike, Amane
Nishikawa, Hiroaki
Saku, Keijiro
author_sort Hitaka, Yuka
collection PubMed
description BACKGROUND: We investigated the relationship between the severity and presence of coronary artery disease (CAD) and a difference in systolic and diastolic blood pressure (SBP and DBP) between arms or between lower limbs. METHODS: We enrolled 277 patients who underwent coronary angiography. We calculated the absolute (|right BP (rt. BP) - left BP (lt. BP)|) and relative (rt. BP - lt. BP) differences in SBP or DBP between arms or between lower limbs, and assessed the severity of CAD in terms of the Gensini score. RESULTS: The absolute difference in DBP between arms in the CAD group was significantly lower than that in the non-CAD group, whereas the absolute difference in DBP between lower limbs in the CAD group was significantly higher. There were no differences in the absolute or relative difference in SBP between arms or lower limbs between the groups. The absolute difference in DBP between arms decreased as the Gensini score increased. In a logistic regression analysis, the presence of CAD was independently associated with the absolute difference in DBP between arms, in addition to male, family history, dyslipidemia, diabetes mellitus and hypertension. CONCLUSION: The absolute difference in DBP between arms in addition to traditional factors may be a critical risk factor for the presence of CAD.
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spelling pubmed-45962692015-10-21 Impact of the Absolute Difference in Diastolic Blood Pressure Between Arms in Patients With Coronary Artery Disease Hitaka, Yuka Miura, Shin-ichiro Koyoshi, Rie Shiga, Yuhei Miyase, Yuiko Norimatsu, Kenji Nakamura, Ayumi Adachi, Sen Kuwano, Takashi Sugihara, Makoto Ike, Amane Nishikawa, Hiroaki Saku, Keijiro J Clin Med Res Original Article BACKGROUND: We investigated the relationship between the severity and presence of coronary artery disease (CAD) and a difference in systolic and diastolic blood pressure (SBP and DBP) between arms or between lower limbs. METHODS: We enrolled 277 patients who underwent coronary angiography. We calculated the absolute (|right BP (rt. BP) - left BP (lt. BP)|) and relative (rt. BP - lt. BP) differences in SBP or DBP between arms or between lower limbs, and assessed the severity of CAD in terms of the Gensini score. RESULTS: The absolute difference in DBP between arms in the CAD group was significantly lower than that in the non-CAD group, whereas the absolute difference in DBP between lower limbs in the CAD group was significantly higher. There were no differences in the absolute or relative difference in SBP between arms or lower limbs between the groups. The absolute difference in DBP between arms decreased as the Gensini score increased. In a logistic regression analysis, the presence of CAD was independently associated with the absolute difference in DBP between arms, in addition to male, family history, dyslipidemia, diabetes mellitus and hypertension. CONCLUSION: The absolute difference in DBP between arms in addition to traditional factors may be a critical risk factor for the presence of CAD. Elmer Press 2015-11 2015-09-25 /pmc/articles/PMC4596269/ /pubmed/26491500 http://dx.doi.org/10.14740/jocmr2330w Text en Copyright 2015, Hitaka et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Hitaka, Yuka
Miura, Shin-ichiro
Koyoshi, Rie
Shiga, Yuhei
Miyase, Yuiko
Norimatsu, Kenji
Nakamura, Ayumi
Adachi, Sen
Kuwano, Takashi
Sugihara, Makoto
Ike, Amane
Nishikawa, Hiroaki
Saku, Keijiro
Impact of the Absolute Difference in Diastolic Blood Pressure Between Arms in Patients With Coronary Artery Disease
title Impact of the Absolute Difference in Diastolic Blood Pressure Between Arms in Patients With Coronary Artery Disease
title_full Impact of the Absolute Difference in Diastolic Blood Pressure Between Arms in Patients With Coronary Artery Disease
title_fullStr Impact of the Absolute Difference in Diastolic Blood Pressure Between Arms in Patients With Coronary Artery Disease
title_full_unstemmed Impact of the Absolute Difference in Diastolic Blood Pressure Between Arms in Patients With Coronary Artery Disease
title_short Impact of the Absolute Difference in Diastolic Blood Pressure Between Arms in Patients With Coronary Artery Disease
title_sort impact of the absolute difference in diastolic blood pressure between arms in patients with coronary artery disease
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4596269/
https://www.ncbi.nlm.nih.gov/pubmed/26491500
http://dx.doi.org/10.14740/jocmr2330w
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