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Measuring interarm blood pressure differences in diabetes

Interarm differences in systolic blood pressure are associated with a significant risk of morbidity and mortality. A new study reports that these differences are frequently observed in patients with diabetes mellitus and recommends routine measurement of interarm blood pressure differences to improve diagnostic and prognostic stratification of these patients.

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References

  1. [No authors listed] Hypertension in diabetes study (HDS): II. Increased risk of cardiovascular complications in hypertensive type 2 diabetic patients. J. Hypertens. 11, 319–325 (1993).

  2. O'Brien, E. et al. European Society of Hypertension position paper on ambulatory blood pressure monitoring. J. Hypertens. 31, 1731–1768 (2013).

    Article  CAS  Google Scholar 

  3. Mancia, G. et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J. Hypertens. 31, 1281–1357 (2013).

    Article  CAS  Google Scholar 

  4. Clark, C. E., Taylor, R. S., Shore, A. C., Ukoumunne, O. C. & Campbell, J. L. Association of a difference in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta-analysis. Lancet 379, 905–914 (2012).

    Article  Google Scholar 

  5. Heneghan, C., Perera, R., Mant, D. & Glasziou, P. Hypertension guideline recommendations in general practice: awareness, agreement, adoption, and adherence. Br. J. Gen. Pract. 57, 948–952 (2007).

    Article  Google Scholar 

  6. Clark, C. E. et al. Interarm blood pressure difference in people with diabetes: measurement and vascular and mortality implications: a cohort study. Diabetes Care 37, 1613–1620 (2014).

    Article  Google Scholar 

  7. Clark, C. E., Greaves, C. J., Evans, P. H., Dickens, A. & Campbell, J. L. Inter-arm blood pressure difference in type 2 diabetes: a barrier to effective management? Br. J. Gen. Pract. 59, 428–432 (2009).

    Article  Google Scholar 

  8. Parati, G., Ochoa, J. E., Lombardi, C. Y. & Bilo, G. Assessment and management of blood-pressure variability. Nat. Rev. Cardiol. 10, 143–155 (2013).

    Article  Google Scholar 

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Acknowledgements

The authors acknowledge the contributions made by Dr J. E. Ochoa and Dr P. Salvi in the preparation of this article.

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Correspondence to Gianfranco Parati.

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Parati, G., Zanchetti, A. Measuring interarm blood pressure differences in diabetes. Nat Rev Endocrinol 10, 387–388 (2014). https://doi.org/10.1038/nrendo.2014.80

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