Defining the relationship between arm and leg blood pressure readings: a systematic review and meta-analysis

Journal of Hypertension
James P SheppardBritish and Irish Hypertension Society

Abstract

To define the relationship between arm and leg blood pressure (BP) to inform the interpretation of leg BP readings in routine clinical practice where arm readings are not available. Systematic review of all existing studies comparing arm and leg BP measurements. A search strategy was designed in MEDLINE and adapted to be run across six further databases. Articles were deemed eligible for inclusion if they measured and reported arm and leg BP taken in the supine position and/or the difference between the two. Mean values for arm-leg BP difference and measures of precision [95% confidence intervals (CIs) or SD] were extracted and entered into a random-effects meta-analysis. A total of 887 articles were screened and 44 were included in the descriptive analyses, including 9771 patients. In the general population, ankle SBP was 17.0 mmHg (95% CI 15.4-21.3 mmHg) higher than arm BP in the supine position. For DBP, there was no difference between arm and ankle BP (-0.3 mmHg, 95% CI -1.5-1.0 mmHg). In patients with vascular disease, SBP was -33.3 mmHg (95% CI -59.1 to -7.6 mmHg) lower in the ankle compared with the arm. This is the first review to provide empirical data defining the difference between BP in the arm and leg in the genera...Continue Reading

References

Oct 1, 1991·Journal of Clinical Monitoring·T E Banner, J S Gravenstein
Dec 1, 1989·Clinical Physiology·J EngvallB Wranne
Oct 1, 1986·Anaesthesia·S L GoldthorpA J Asbury
Feb 1, 1973·Angiology·R D AllisonR H Hayward
Oct 9, 2002·The Journal of Clinical Hypertension·Arun MalhotraRaymond R Townsend
Jun 25, 2003·Journal of Human Hypertension·R T NeteaTh Thien
Nov 24, 2004·Southern Medical Journal·Jason M Wilkes, Jack A DiPalma
Jul 14, 2005·Journal of Vascular Surgery·Jamal BaraniAnders Gottsäter
Aug 1, 2007·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Cheng-Rui PanJi-Guang Wang
Jun 6, 2009·Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research·S Marlene GrenonJoel Gagnon
Sep 5, 2009·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Tom RichartJan A Staessen
Oct 19, 2011·Annals of Internal Medicine·Penny F WhitingUNKNOWN QUADAS-2 Group
Feb 15, 2012·Cardiovascular Journal of Africa·N I OguanobiO Agwu
Mar 28, 2012·The Annals of Thoracic Surgery·Franz HafnerMarianne Brodmann
Apr 25, 2012·Indian Journal of Anaesthesia·Parul SareenBharti Taneja
Jan 18, 2013·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Hiroshi OkadaNaoto Nakamura
Apr 10, 2013·Hypertension·Chang-Sheng ShengJi-Guang Wang
Jun 20, 2014·Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing·Dayana FreitasLeila Maria Marchi-Alves
Nov 25, 2014·Journal of the American Society of Hypertension : JASH·Kaiwu CaoHai Su
Feb 27, 2016·Journal of Vascular Surgery·Whitney Laurel QuongYork Nien-Hsiung Hsiang
Dec 1, 2014·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Lara Nicole GoldsteinKaren Sliwa

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Citations

Apr 24, 2020·Journal of Human Hypertension·James P SheppardUNKNOWN Blood Pressure Measurement Working Party of the British and Irish Hypertension Society

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