Brachial-to-radial systolic blood pressure amplification in patients with type 2 diabetes mellitus
Brachial-to-radial-systolic blood pressure amplification (Bra-Rad-SBP Amp ) can affect central SBP estimated by radial tonometry. Patients with type 2 diabetes mellitus (T2DM) have vascular irregularities that may alter Bra-Rad-SBP Amp . By comparing T2DM with non-diabetic controls, we aimed to dete...
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| Veröffentlicht in: | Journal of human hypertension 2016-06, Vol.30 (6), p.404-409 |
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| creator | Climie, R E D Picone, D S Keske, M A Sharman, J E |
| description | Brachial-to-radial-systolic blood pressure amplification (Bra-Rad-SBP
Amp
) can affect central SBP estimated by radial tonometry. Patients with type 2 diabetes mellitus (T2DM) have vascular irregularities that may alter Bra-Rad-SBP
Amp
. By comparing T2DM with non-diabetic controls, we aimed to determine the (1) magnitude of Bra-Rad-SBP
Amp
; (2) haemodynamic factors related to Bra-Rad-SBP
Amp
; and (3) effect of Bra-Rad-SBP
Amp
on estimated central SBP. Twenty T2DM (64±8 years) and 20 non-diabetic controls (60±8 years; 50% male both) underwent simultaneous cuff deflation and two-dimensional ultrasound imaging of the brachial and radial arteries. The first Korotkoff sound (denoting SBP) was identified from the first inflection point of Doppler flow during cuff deflation. Bra-Rad-SBP
Amp
was calculated by radial minus brachial SBP. Upper limb and systemic haemodynamics were recorded by tonometry and ultrasound. Radial SBP was higher than brachial SBP for T2DM (136±19 vs 127±17 mm Hg;
P |
| doi_str_mv | 10.1038/jhh.2015.101 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1787089756</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A454485023</galeid><sourcerecordid>A454485023</sourcerecordid><originalsourceid>FETCH-LOGICAL-c483t-3529b459ec94d300c298b934080a0cb77ca8b52cc62fa8f25e4735f42201d6443</originalsourceid><addsrcrecordid>eNp9ks-L1TAQx4Mo7nP15lkCgniwz2l-tMlxXfwFC170HNI03eaRNjVJWd5_b8pbdVcWySEzmc98MzMMQi9r2NdAxfvDOO4J1Lx49SO0q1nbVJyT9jHageRQScLgDD1L6QCwBcVTdEYaxhoq6x3qPkRtRqd9lUMVdV8snI4pB-8M7nwIPV6iTWmNFutp8W5wRmcXZuxmvBTLzjnhG5dHnI-LxQQXic5mm_BkvXd5Tc_Rk0H7ZF_c3ufox6eP3y-_VFffPn-9vLiqDBM0V5QT2TEurZGspwCGSNFJykCABtO1rdGi48SYhgxaDIRb1lI-MFKa70s_9By9PekuMfxcbcpqcsmUIvRsw5pU3YoWhGx5U9DX_6CHsMa5VKfKaKChVEr4H1W0mgYoEfVf6lp7q9w8hFxGun2tLhhnTHAgtFD7B6hyejs5E2Y7uPJ-L-HNnYTRap_HFPy6zT7dB9-dQBNDStEOaolu0vGoalDbhqiyIWrbkOJt5b66bWrtJtv_gX-vRAGqE5BKaL628U7XDwn-AiNTwXg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1786603281</pqid></control><display><type>article</type><title>Brachial-to-radial systolic blood pressure amplification in patients with type 2 diabetes mellitus</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Climie, R E D ; Picone, D S ; Keske, M A ; Sharman, J E</creator><creatorcontrib>Climie, R E D ; Picone, D S ; Keske, M A ; Sharman, J E</creatorcontrib><description>Brachial-to-radial-systolic blood pressure amplification (Bra-Rad-SBP
Amp
) can affect central SBP estimated by radial tonometry. Patients with type 2 diabetes mellitus (T2DM) have vascular irregularities that may alter Bra-Rad-SBP
Amp
. By comparing T2DM with non-diabetic controls, we aimed to determine the (1) magnitude of Bra-Rad-SBP
Amp
; (2) haemodynamic factors related to Bra-Rad-SBP
Amp
; and (3) effect of Bra-Rad-SBP
Amp
on estimated central SBP. Twenty T2DM (64±8 years) and 20 non-diabetic controls (60±8 years; 50% male both) underwent simultaneous cuff deflation and two-dimensional ultrasound imaging of the brachial and radial arteries. The first Korotkoff sound (denoting SBP) was identified from the first inflection point of Doppler flow during cuff deflation. Bra-Rad-SBP
Amp
was calculated by radial minus brachial SBP. Upper limb and systemic haemodynamics were recorded by tonometry and ultrasound. Radial SBP was higher than brachial SBP for T2DM (136±19 vs 127±17 mm Hg;
P
<0.001) and non-diabetic controls (135±12 vs 121±11 mm Hg;
P
<0.001), but Bra-Rad-SBP
Amp
was significantly lower in T2DM (9±8 vs 14±7 mm Hg;
P
=0.042). The product of brachial mean flow velocity × brachial diameter was inversely and independently correlated with Bra-Rad-SBP
Amp
in T2DM (
β
=−0.033 95% confidence interval −0.063 to −0.004,
P
=0.030). When radial waveforms were calibrated using radial, compared with brachial SBP, central SBP was significantly higher in both groups (T2DM, 116±13 vs 125±15 mm Hg; and controls, 112±10 vs 124±11 mm Hg;
P
<0.001 both) and there was a significant increase in the number of participants classified with ‘central hypertension’ (SBP⩾130 mm Hg;
P
=0.004). Compared with non-diabetic controls, Bra-Rad-SBP
Amp
is significantly lower in T2DM. Regardless of disease status, radial SBP is higher than brachial SBP and this results in underestimation of central SBP using brachial-BP-calibrated radial tonometry.</description><identifier>ISSN: 0950-9240</identifier><identifier>EISSN: 1476-5527</identifier><identifier>DOI: 10.1038/jhh.2015.101</identifier><identifier>PMID: 26446391</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/443/1338/243 ; 692/308 ; Aged ; Arterial Pressure ; Arteries ; Auscultation ; Blood Flow Velocity ; Blood pressure ; Brachial Artery - diagnostic imaging ; Brachial Artery - physiopathology ; Care and treatment ; Case-Control Studies ; Diabetes ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - diagnosis ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetic Angiopathies - diagnosis ; Diabetic Angiopathies - etiology ; Diabetic Angiopathies - physiopathology ; Epidemiology ; Female ; Flow velocity ; Health Administration ; Health aspects ; Hemodynamics ; Humans ; Hypertension ; Male ; Manometry ; Medicine ; Medicine & Public Health ; Middle Aged ; original-article ; Predictive Value of Tests ; Public Health ; Radial Artery - diagnostic imaging ; Radial Artery - physiopathology ; Regional Blood Flow ; Reproducibility of Results ; Type 2 diabetes ; Ultrasonic imaging ; Ultrasonography, Doppler ; Ultrasound ; Ultrasound imaging</subject><ispartof>Journal of human hypertension, 2016-06, Vol.30 (6), p.404-409</ispartof><rights>Macmillan Publishers Limited 2016</rights><rights>COPYRIGHT 2016 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jun 2016</rights><rights>Macmillan Publishers Limited 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-3529b459ec94d300c298b934080a0cb77ca8b52cc62fa8f25e4735f42201d6443</citedby><cites>FETCH-LOGICAL-c483t-3529b459ec94d300c298b934080a0cb77ca8b52cc62fa8f25e4735f42201d6443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26446391$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Climie, R E D</creatorcontrib><creatorcontrib>Picone, D S</creatorcontrib><creatorcontrib>Keske, M A</creatorcontrib><creatorcontrib>Sharman, J E</creatorcontrib><title>Brachial-to-radial systolic blood pressure amplification in patients with type 2 diabetes mellitus</title><title>Journal of human hypertension</title><addtitle>J Hum Hypertens</addtitle><addtitle>J Hum Hypertens</addtitle><description>Brachial-to-radial-systolic blood pressure amplification (Bra-Rad-SBP
Amp
) can affect central SBP estimated by radial tonometry. Patients with type 2 diabetes mellitus (T2DM) have vascular irregularities that may alter Bra-Rad-SBP
Amp
. By comparing T2DM with non-diabetic controls, we aimed to determine the (1) magnitude of Bra-Rad-SBP
Amp
; (2) haemodynamic factors related to Bra-Rad-SBP
Amp
; and (3) effect of Bra-Rad-SBP
Amp
on estimated central SBP. Twenty T2DM (64±8 years) and 20 non-diabetic controls (60±8 years; 50% male both) underwent simultaneous cuff deflation and two-dimensional ultrasound imaging of the brachial and radial arteries. The first Korotkoff sound (denoting SBP) was identified from the first inflection point of Doppler flow during cuff deflation. Bra-Rad-SBP
Amp
was calculated by radial minus brachial SBP. Upper limb and systemic haemodynamics were recorded by tonometry and ultrasound. Radial SBP was higher than brachial SBP for T2DM (136±19 vs 127±17 mm Hg;
P
<0.001) and non-diabetic controls (135±12 vs 121±11 mm Hg;
P
<0.001), but Bra-Rad-SBP
Amp
was significantly lower in T2DM (9±8 vs 14±7 mm Hg;
P
=0.042). The product of brachial mean flow velocity × brachial diameter was inversely and independently correlated with Bra-Rad-SBP
Amp
in T2DM (
β
=−0.033 95% confidence interval −0.063 to −0.004,
P
=0.030). When radial waveforms were calibrated using radial, compared with brachial SBP, central SBP was significantly higher in both groups (T2DM, 116±13 vs 125±15 mm Hg; and controls, 112±10 vs 124±11 mm Hg;
P
<0.001 both) and there was a significant increase in the number of participants classified with ‘central hypertension’ (SBP⩾130 mm Hg;
P
=0.004). Compared with non-diabetic controls, Bra-Rad-SBP
Amp
is significantly lower in T2DM. Regardless of disease status, radial SBP is higher than brachial SBP and this results in underestimation of central SBP using brachial-BP-calibrated radial tonometry.</description><subject>631/443/1338/243</subject><subject>692/308</subject><subject>Aged</subject><subject>Arterial Pressure</subject><subject>Arteries</subject><subject>Auscultation</subject><subject>Blood Flow Velocity</subject><subject>Blood pressure</subject><subject>Brachial Artery - diagnostic imaging</subject><subject>Brachial Artery - physiopathology</subject><subject>Care and treatment</subject><subject>Case-Control Studies</subject><subject>Diabetes</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - diagnosis</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Diabetic Angiopathies - diagnosis</subject><subject>Diabetic Angiopathies - etiology</subject><subject>Diabetic Angiopathies - physiopathology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Flow velocity</subject><subject>Health Administration</subject><subject>Health aspects</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Male</subject><subject>Manometry</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>original-article</subject><subject>Predictive Value of Tests</subject><subject>Public Health</subject><subject>Radial Artery - diagnostic imaging</subject><subject>Radial Artery - physiopathology</subject><subject>Regional Blood Flow</subject><subject>Reproducibility of Results</subject><subject>Type 2 diabetes</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography, Doppler</subject><subject>Ultrasound</subject><subject>Ultrasound imaging</subject><issn>0950-9240</issn><issn>1476-5527</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9ks-L1TAQx4Mo7nP15lkCgniwz2l-tMlxXfwFC170HNI03eaRNjVJWd5_b8pbdVcWySEzmc98MzMMQi9r2NdAxfvDOO4J1Lx49SO0q1nbVJyT9jHageRQScLgDD1L6QCwBcVTdEYaxhoq6x3qPkRtRqd9lUMVdV8snI4pB-8M7nwIPV6iTWmNFutp8W5wRmcXZuxmvBTLzjnhG5dHnI-LxQQXic5mm_BkvXd5Tc_Rk0H7ZF_c3ufox6eP3y-_VFffPn-9vLiqDBM0V5QT2TEurZGspwCGSNFJykCABtO1rdGi48SYhgxaDIRb1lI-MFKa70s_9By9PekuMfxcbcpqcsmUIvRsw5pU3YoWhGx5U9DX_6CHsMa5VKfKaKChVEr4H1W0mgYoEfVf6lp7q9w8hFxGun2tLhhnTHAgtFD7B6hyejs5E2Y7uPJ-L-HNnYTRap_HFPy6zT7dB9-dQBNDStEOaolu0vGoalDbhqiyIWrbkOJt5b66bWrtJtv_gX-vRAGqE5BKaL628U7XDwn-AiNTwXg</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Climie, R E D</creator><creator>Picone, D S</creator><creator>Keske, M A</creator><creator>Sharman, J E</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20160601</creationdate><title>Brachial-to-radial systolic blood pressure amplification in patients with type 2 diabetes mellitus</title><author>Climie, R E D ; Picone, D S ; Keske, M A ; Sharman, J E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-3529b459ec94d300c298b934080a0cb77ca8b52cc62fa8f25e4735f42201d6443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>631/443/1338/243</topic><topic>692/308</topic><topic>Aged</topic><topic>Arterial Pressure</topic><topic>Arteries</topic><topic>Auscultation</topic><topic>Blood Flow Velocity</topic><topic>Blood pressure</topic><topic>Brachial Artery - diagnostic imaging</topic><topic>Brachial Artery - physiopathology</topic><topic>Care and treatment</topic><topic>Case-Control Studies</topic><topic>Diabetes</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - diagnosis</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Diabetic Angiopathies - diagnosis</topic><topic>Diabetic Angiopathies - etiology</topic><topic>Diabetic Angiopathies - physiopathology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Flow velocity</topic><topic>Health Administration</topic><topic>Health aspects</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Male</topic><topic>Manometry</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>original-article</topic><topic>Predictive Value of Tests</topic><topic>Public Health</topic><topic>Radial Artery - diagnostic imaging</topic><topic>Radial Artery - physiopathology</topic><topic>Regional Blood Flow</topic><topic>Reproducibility of Results</topic><topic>Type 2 diabetes</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography, Doppler</topic><topic>Ultrasound</topic><topic>Ultrasound imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Climie, R E D</creatorcontrib><creatorcontrib>Picone, D S</creatorcontrib><creatorcontrib>Keske, M A</creatorcontrib><creatorcontrib>Sharman, J E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of human hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Climie, R E D</au><au>Picone, D S</au><au>Keske, M A</au><au>Sharman, J E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brachial-to-radial systolic blood pressure amplification in patients with type 2 diabetes mellitus</atitle><jtitle>Journal of human hypertension</jtitle><stitle>J Hum Hypertens</stitle><addtitle>J Hum Hypertens</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>30</volume><issue>6</issue><spage>404</spage><epage>409</epage><pages>404-409</pages><issn>0950-9240</issn><eissn>1476-5527</eissn><abstract>Brachial-to-radial-systolic blood pressure amplification (Bra-Rad-SBP
Amp
) can affect central SBP estimated by radial tonometry. Patients with type 2 diabetes mellitus (T2DM) have vascular irregularities that may alter Bra-Rad-SBP
Amp
. By comparing T2DM with non-diabetic controls, we aimed to determine the (1) magnitude of Bra-Rad-SBP
Amp
; (2) haemodynamic factors related to Bra-Rad-SBP
Amp
; and (3) effect of Bra-Rad-SBP
Amp
on estimated central SBP. Twenty T2DM (64±8 years) and 20 non-diabetic controls (60±8 years; 50% male both) underwent simultaneous cuff deflation and two-dimensional ultrasound imaging of the brachial and radial arteries. The first Korotkoff sound (denoting SBP) was identified from the first inflection point of Doppler flow during cuff deflation. Bra-Rad-SBP
Amp
was calculated by radial minus brachial SBP. Upper limb and systemic haemodynamics were recorded by tonometry and ultrasound. Radial SBP was higher than brachial SBP for T2DM (136±19 vs 127±17 mm Hg;
P
<0.001) and non-diabetic controls (135±12 vs 121±11 mm Hg;
P
<0.001), but Bra-Rad-SBP
Amp
was significantly lower in T2DM (9±8 vs 14±7 mm Hg;
P
=0.042). The product of brachial mean flow velocity × brachial diameter was inversely and independently correlated with Bra-Rad-SBP
Amp
in T2DM (
β
=−0.033 95% confidence interval −0.063 to −0.004,
P
=0.030). When radial waveforms were calibrated using radial, compared with brachial SBP, central SBP was significantly higher in both groups (T2DM, 116±13 vs 125±15 mm Hg; and controls, 112±10 vs 124±11 mm Hg;
P
<0.001 both) and there was a significant increase in the number of participants classified with ‘central hypertension’ (SBP⩾130 mm Hg;
P
=0.004). Compared with non-diabetic controls, Bra-Rad-SBP
Amp
is significantly lower in T2DM. Regardless of disease status, radial SBP is higher than brachial SBP and this results in underestimation of central SBP using brachial-BP-calibrated radial tonometry.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>26446391</pmid><doi>10.1038/jhh.2015.101</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0950-9240 |
| ispartof | Journal of human hypertension, 2016-06, Vol.30 (6), p.404-409 |
| issn | 0950-9240 1476-5527 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1787089756 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | 631/443/1338/243 692/308 Aged Arterial Pressure Arteries Auscultation Blood Flow Velocity Blood pressure Brachial Artery - diagnostic imaging Brachial Artery - physiopathology Care and treatment Case-Control Studies Diabetes Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - diagnosis Diabetes Mellitus, Type 2 - physiopathology Diabetic Angiopathies - diagnosis Diabetic Angiopathies - etiology Diabetic Angiopathies - physiopathology Epidemiology Female Flow velocity Health Administration Health aspects Hemodynamics Humans Hypertension Male Manometry Medicine Medicine & Public Health Middle Aged original-article Predictive Value of Tests Public Health Radial Artery - diagnostic imaging Radial Artery - physiopathology Regional Blood Flow Reproducibility of Results Type 2 diabetes Ultrasonic imaging Ultrasonography, Doppler Ultrasound Ultrasound imaging |
| title | Brachial-to-radial systolic blood pressure amplification in patients with type 2 diabetes mellitus |
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