The Prevalence of vascular impairment among elderly patients in hypertension clinic, Kham Khuean Kaeo Hospital Yasothon Province

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สุดาภรณ์ ขอสุข
ทวีศักดิ์ จรรยาเจริญ
วนิดา ดรปัญหา
พลลพัฏฐ์ ยงฤทธิปกรณ์
เสาวนีย์ นาคมะเริง

Abstract

A difference in systolic blood pressure between arms is an easy outcome was developed to determining physical status and related to vascular disease. The purpose of this cross-sectional study was to investigate the prevalence of vascular impairment which assessed by the determination of inter-arm systolic blood pressure difference among the elderly patient in Kham Khuean Kaeo Hospital, Yasothon province. The study was conducted from April to December 2018, one hundred forty elderly participants were enrolled from hypertension clinic, Kham Khuean Kaeo Hospital. Sequential bilateral blood pressure measurement was recorded by random order, the average of the three measurements in each arm was used for analysis.  In the present study, the absolute value of systolic blood pressure value between right and left arm was reported [systolic blood pressure of higher arm - systolic blood pressure of lower arm].  The data were analyzed using descriptive statistics. Correlation of inter-arm systolic blood pressure difference and demographic characteristics were assessed with Pearson’s correlation coefficient. The study group included 140 individuals, average age 72.44 ± 6.22 years, 70 men (50.00%).  Most of the subjects were right -handed. The prevalence of vascular impairment was 35.71% and 7.85%, according to the cut point of inter-arm systolic blood pressure difference ³ 5 and ³ 10 mmHg, respectively.  Higher resting diastolic blood pressure, resting systolic blood pressure and lower mid-arm circumference were associated with lager inter-arm systolic blood pressure difference. These findings support the importance of blood pressure measurement in both arms following Hypertension Society recommendation. Moreover, inter-arm systolic blood pressure difference also useful as a simple tool for vascular screening in the community elderly.


 


 


 

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