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Inter-arm blood pressure difference in post-stroke patients with hemiparesis

Journal of Human Hypertension volume 38, pages 228–231 (2024)Cite this article

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Abstract

The aim of this study was to investigate that inter-arm blood pressure (BP) difference (IAD) and reference arm in 420 post-stroke patients with hemiparesis. Synchronous bilateral-arm BP was measured with two automatic BP devices, and the systolic BP difference of ≥10 mm Hg was recorded as increased sIAD. The arm with higher systolic BP (SBP) was assigned as the reference arm. Our results showed that the prevalence of sIAD was 18.1% in the total group. The paretic arms had similar mean SBP levels (133.6±18.4 vs. 133.8±18.4 mm Hg, NS) and DBP (77.8±11.5 vs. 77.2±10.9 mm Hg, NS) as compared with the unaffected arms. The detection rate of hypertension or uncontrolled hypertension on the SBP values of the reference arm was higher than that on the unaffected arm (41.8% vs. 36.3%). It is concluded that in the post-stroke patients with hemiparesis in the rehabilitation period, the prevalence of sIAD ≥10 mmHg was relatively higher, and using the unaffected arm, rather than the unaffected arm, for BP measurement could induce correctly detection of hypertension.

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Author notes

  1. These authors contributed equally: Hai-ping PENG, Liang TAO.

Authors and Affiliations

  1. Department of Neurology, Ningbo Rehabilitation Hospital, Ningbo, Zhejiang, China

    Hai-ping PENG, Liang TAO & Min TANG

  2. Cardiovascular Rehabilitation Center, Second Affiliated Hospital, Nanchang University, Nanchang, Jiangxi, China

    Hai SU

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  1. Hai-ping PENG
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  2. Liang TAO
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  3. Min TANG
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Contributions

Data collection and analysis: HP, LT, MT, Write and design: HS.

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Correspondence to Hai SU.

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PENG, Hp., TAO, L., TANG, M. et al. Inter-arm blood pressure difference in post-stroke patients with hemiparesis. J Hum Hypertens 38, 228–231 (2024). https://doi.org/10.1038/s41371-023-00886-y

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  • DOI: https://doi.org/10.1038/s41371-023-00886-y

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