Inter‐Arm Blood Pressure Difference in Hospitalized Elderly Patients Is Not Associated With Excess Mortality
Inter‐arm blood pressure difference (IAD) has been found to be associated with cardiovascular mortality. Its clinical significance and association with mortality in the elderly is not well defined. This study evaluated the association of IAD with mortality in a cohort of hospitalized elderly individ...
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| Veröffentlicht in: | The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2015-10, Vol.17 (10), p.786-791 |
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| container_title | The journal of clinical hypertension (Greenwich, Conn.) |
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| creator | Weiss, Avraham Grossman, Alon Beloosesky, Yichayaou Koren‐Morag, Nira Green, Hefziba Grossman, Ehud |
| description | Inter‐arm blood pressure difference (IAD) has been found to be associated with cardiovascular mortality. Its clinical significance and association with mortality in the elderly is not well defined. This study evaluated the association of IAD with mortality in a cohort of hospitalized elderly individuals. Blood pressure (BP) was measured simultaneously in both arms in elderly individuals (older than 65 years) hospitalized in a geriatric ward from October 2012 to July 2014. During the study period, 445 patients, mostly women (54.8%) with a mean age of 85±5 years, were recruited. Systolic and diastolic IAD were >10 mm Hg in 102 (22.9%) and 76 (17.1%) patients, respectively. Patients were followed for an average of 342±201 days. During follow‐up, 102 patients (22.9%) died. Mortality was not associated with systolic or diastolic IAD. It is therefore questionable whether BP should be routinely measured in both arms in the elderly. |
| doi_str_mv | 10.1111/jch.12588 |
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Its clinical significance and association with mortality in the elderly is not well defined. This study evaluated the association of IAD with mortality in a cohort of hospitalized elderly individuals. Blood pressure (BP) was measured simultaneously in both arms in elderly individuals (older than 65 years) hospitalized in a geriatric ward from October 2012 to July 2014. During the study period, 445 patients, mostly women (54.8%) with a mean age of 85±5 years, were recruited. Systolic and diastolic IAD were >10 mm Hg in 102 (22.9%) and 76 (17.1%) patients, respectively. Patients were followed for an average of 342±201 days. During follow‐up, 102 patients (22.9%) died. Mortality was not associated with systolic or diastolic IAD. It is therefore questionable whether BP should be routinely measured in both arms in the elderly.</description><identifier>ISSN: 1524-6175</identifier><identifier>ISSN: 1751-7176</identifier><identifier>EISSN: 1751-7176</identifier><identifier>DOI: 10.1111/jch.12588</identifier><identifier>PMID: 26041136</identifier><language>eng</language><publisher>United States: John Wiley and Sons Inc</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Arm - blood supply ; Arm - physiology ; Blood Pressure - physiology ; Blood Pressure Determination - methods ; Cardiovascular Diseases - mortality ; Cardiovascular Diseases - physiopathology ; Cohort Studies ; Diastole - physiology ; Female ; Follow-Up Studies ; Hospitalization ; Humans ; Hypertension - diagnosis ; Hypertension - drug therapy ; Israel - epidemiology ; Male ; Observer Variation ; Original Paper ; Original Papers ; Prevalence ; Prospective Studies ; Risk Factors ; Systole - physiology</subject><ispartof>The journal of clinical hypertension (Greenwich, Conn.), 2015-10, Vol.17 (10), p.786-791</ispartof><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4858-1d4bb361cdaa6c5c1deaaa8019c3dba678273ef51a9784f5a889cad3de4b5a343</citedby><cites>FETCH-LOGICAL-c4858-1d4bb361cdaa6c5c1deaaa8019c3dba678273ef51a9784f5a889cad3de4b5a343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8031635/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8031635/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,1433,27924,27925,45574,45575,46409,46833,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26041136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weiss, Avraham</creatorcontrib><creatorcontrib>Grossman, Alon</creatorcontrib><creatorcontrib>Beloosesky, Yichayaou</creatorcontrib><creatorcontrib>Koren‐Morag, Nira</creatorcontrib><creatorcontrib>Green, Hefziba</creatorcontrib><creatorcontrib>Grossman, Ehud</creatorcontrib><title>Inter‐Arm Blood Pressure Difference in Hospitalized Elderly Patients Is Not Associated With Excess Mortality</title><title>The journal of clinical hypertension (Greenwich, Conn.)</title><addtitle>J Clin Hypertens (Greenwich)</addtitle><description>Inter‐arm blood pressure difference (IAD) has been found to be associated with cardiovascular mortality. Its clinical significance and association with mortality in the elderly is not well defined. This study evaluated the association of IAD with mortality in a cohort of hospitalized elderly individuals. Blood pressure (BP) was measured simultaneously in both arms in elderly individuals (older than 65 years) hospitalized in a geriatric ward from October 2012 to July 2014. During the study period, 445 patients, mostly women (54.8%) with a mean age of 85±5 years, were recruited. Systolic and diastolic IAD were >10 mm Hg in 102 (22.9%) and 76 (17.1%) patients, respectively. Patients were followed for an average of 342±201 days. During follow‐up, 102 patients (22.9%) died. Mortality was not associated with systolic or diastolic IAD. It is therefore questionable whether BP should be routinely measured in both arms in the elderly.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arm - blood supply</subject><subject>Arm - physiology</subject><subject>Blood Pressure - physiology</subject><subject>Blood Pressure Determination - methods</subject><subject>Cardiovascular Diseases - mortality</subject><subject>Cardiovascular Diseases - physiopathology</subject><subject>Cohort Studies</subject><subject>Diastole - physiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - drug therapy</subject><subject>Israel - epidemiology</subject><subject>Male</subject><subject>Observer Variation</subject><subject>Original Paper</subject><subject>Original Papers</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Systole - physiology</subject><issn>1524-6175</issn><issn>1751-7176</issn><issn>1751-7176</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFuEzEQhi0Eom3gwAsgH-Gw7U683vVekEIIJKhADyCO1qw9S1w562BvoOHEI_CMPAkuKRUc8GUsz-fPI_-MPYLyFPI6uzTrU5hKpe6wY2gkFA009d28l9OqqPPJETtJ6bIspRBteZ8dTeuyAhD1MRtWw0jx5_cfs7jhz30Ill9ESmkXib9wfU-RBkPcDXwZ0taN6N03snzhLUW_5xc4OhrGxFeJvw0jn6UUjMMxIx_duOaLK5Nl_E2I1zfH_QN2r0ef6OFNnbAPLxfv58vi_N2r1Xx2XphKSVWArbpO1GAsYm2kAUuIqEpojbAd1o2aNoJ6Cdg2quolKtUatMJS1UkUlZiwZwfvdtdtyJo8Y0Svt9FtMO51QKf_7QxurT-FL1qVAmohs-DJjSCGzztKo964ZMh7HCjskoYGVAuVzL84YU8PqIkhpUj97TNQ6ut8dM5H_84ns4__nuuW_BNIBs4OwFfnaf9_k349Xx6UvwAAMp3A</recordid><startdate>201510</startdate><enddate>201510</enddate><creator>Weiss, Avraham</creator><creator>Grossman, Alon</creator><creator>Beloosesky, Yichayaou</creator><creator>Koren‐Morag, Nira</creator><creator>Green, Hefziba</creator><creator>Grossman, Ehud</creator><general>John Wiley and Sons Inc</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>7X8</scope><scope>5PM</scope></search><sort><creationdate>201510</creationdate><title>Inter‐Arm Blood Pressure Difference in Hospitalized Elderly Patients Is Not Associated With Excess Mortality</title><author>Weiss, Avraham ; Grossman, Alon ; Beloosesky, Yichayaou ; Koren‐Morag, Nira ; Green, Hefziba ; Grossman, Ehud</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4858-1d4bb361cdaa6c5c1deaaa8019c3dba678273ef51a9784f5a889cad3de4b5a343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arm - blood supply</topic><topic>Arm - physiology</topic><topic>Blood Pressure - physiology</topic><topic>Blood Pressure Determination - methods</topic><topic>Cardiovascular Diseases - mortality</topic><topic>Cardiovascular Diseases - physiopathology</topic><topic>Cohort Studies</topic><topic>Diastole - physiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - drug therapy</topic><topic>Israel - epidemiology</topic><topic>Male</topic><topic>Observer Variation</topic><topic>Original Paper</topic><topic>Original Papers</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Systole - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weiss, Avraham</creatorcontrib><creatorcontrib>Grossman, Alon</creatorcontrib><creatorcontrib>Beloosesky, Yichayaou</creatorcontrib><creatorcontrib>Koren‐Morag, Nira</creatorcontrib><creatorcontrib>Green, Hefziba</creatorcontrib><creatorcontrib>Grossman, Ehud</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weiss, Avraham</au><au>Grossman, Alon</au><au>Beloosesky, Yichayaou</au><au>Koren‐Morag, Nira</au><au>Green, Hefziba</au><au>Grossman, Ehud</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inter‐Arm Blood Pressure Difference in Hospitalized Elderly Patients Is Not Associated With Excess Mortality</atitle><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle><addtitle>J Clin Hypertens (Greenwich)</addtitle><date>2015-10</date><risdate>2015</risdate><volume>17</volume><issue>10</issue><spage>786</spage><epage>791</epage><pages>786-791</pages><issn>1524-6175</issn><issn>1751-7176</issn><eissn>1751-7176</eissn><abstract>Inter‐arm blood pressure difference (IAD) has been found to be associated with cardiovascular mortality. Its clinical significance and association with mortality in the elderly is not well defined. This study evaluated the association of IAD with mortality in a cohort of hospitalized elderly individuals. Blood pressure (BP) was measured simultaneously in both arms in elderly individuals (older than 65 years) hospitalized in a geriatric ward from October 2012 to July 2014. During the study period, 445 patients, mostly women (54.8%) with a mean age of 85±5 years, were recruited. Systolic and diastolic IAD were >10 mm Hg in 102 (22.9%) and 76 (17.1%) patients, respectively. Patients were followed for an average of 342±201 days. During follow‐up, 102 patients (22.9%) died. Mortality was not associated with systolic or diastolic IAD. 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| subjects | Age Factors Aged Aged, 80 and over Arm - blood supply Arm - physiology Blood Pressure - physiology Blood Pressure Determination - methods Cardiovascular Diseases - mortality Cardiovascular Diseases - physiopathology Cohort Studies Diastole - physiology Female Follow-Up Studies Hospitalization Humans Hypertension - diagnosis Hypertension - drug therapy Israel - epidemiology Male Observer Variation Original Paper Original Papers Prevalence Prospective Studies Risk Factors Systole - physiology |
| title | Inter‐Arm Blood Pressure Difference in Hospitalized Elderly Patients Is Not Associated With Excess Mortality |
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