Yüksel Serkan, Çoksevim Metin, Meriç Murat, Şahin Mahmut
Cardiology Department, Faculty of Medicine, Ondokuz Mayıs University, Samsun 55139, Turkey.
Medicina (Kaunas). 2021 Apr 16;57(4):384. doi: 10.3390/medicina57040384.
: An inter-arm systolic blood pressure difference (IASBPD) is defined as a blood pressure (BP) disparity of ≥10 mmHg between arms. IASBPDs are associated with an increased risk of cardiovascular disease (CVD). Similarly, visceral fat accumulation (VFA) is clinically important because it is associated with higher cardiovascular disease risk. Accordingly, this study compared the body composition parameters of IASBPD individuals with individuals who did not express an IASBPD. : The analysis included 104 patients. The blood pressures of all participants were measured simultaneously in both arms using automated oscillometric devices. Then patients were divided into two groups according to their IASBPD status: Group 1 (IASBPD- (<10 mmHg)); Group 2 (IASPPD+ (≥10 mmHg)). Body composition parameters were measured using bioelectrical impedance analysis. : In 42 (40%) patients, the simultaneously measured IASBPD was equal to or higher than 10 mmHg. The right brachial SBP was higher in 63% of patients. There were no differences between the groups in terms of demographic and clinical characteristics. Regarding the two groups' body composition parameter differences, VFA was significantly higher in group 2 ( = 0.014). : The IASBPD is known to be associated with an increased risk of cardiovascular events. Although the body mass indexes (BMIs) of the two groups were similar, VFA levels in those with a greater than 10 mmHg IASBPD were found to be significantly higher. This finding may explain the increased cardiovascular risk in this group.
双臂收缩压差值(IASBPD)定义为双臂间血压(BP)差异≥10 mmHg。IASBPD与心血管疾病(CVD)风险增加相关。同样,内脏脂肪堆积(VFA)在临床上很重要,因为它与更高的心血管疾病风险相关。因此,本研究比较了有IASBPD的个体与无IASBPD个体的身体成分参数。
分析纳入了104例患者。使用自动示波装置同时测量所有参与者双臂的血压。然后根据患者的IASBPD状态将其分为两组:第1组(IASBPD-(<10 mmHg));第2组(IASPPD+(≥10 mmHg))。使用生物电阻抗分析测量身体成分参数。
在42例(40%)患者中,同时测量的IASBPD等于或高于10 mmHg。63%的患者右侧肱动脉收缩压更高。两组在人口统计学和临床特征方面无差异。关于两组身体成分参数差异,第2组的VFA显著更高(P = 0.014)。
已知IASBPD与心血管事件风险增加相关。尽管两组的体重指数(BMI)相似,但发现IASBPD大于10 mmHg者的VFA水平显著更高。这一发现可能解释了该组心血管风险增加的原因。