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.
References
[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).
O'Brien, E. et al. European Society of Hypertension position paper on ambulatory blood pressure monitoring. J. Hypertens. 31, 1731–1768 (2013).
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).
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).
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).
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).
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).
Parati, G., Ochoa, J. E., Lombardi, C. Y. & Bilo, G. Assessment and management of blood-pressure variability. Nat. Rev. Cardiol. 10, 143–155 (2013).
Acknowledgements
The authors acknowledge the contributions made by Dr J. E. Ochoa and Dr P. Salvi in the preparation of this article.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrendo.2014.80
- Springer Nature Limited