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Differential responses in brachial and ankle blood pressure during blood pressure reactivity tests
Author(s) -
Pearman Miriam,
Lim Ji Sok,
Park Wonil,
Alkatan Mohammed,
Machin Daniel,
Tanaka Hirofumi
Publication year - 2015
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.29.1_supplement.1041.6
Subject(s) - isometric exercise , blood pressure , ankle , cardiology , medicine , cold pressor test , heart rate , anatomy
Blood pressure (BP) reactivity has been assessed by a variety of stimuli, including physical, psychological, and physiological perturbations, that can be further classified into cardiac or vascular in regard to the effector organs. In many BP reactivity studies, changes in brachial BP are taken as systemic changes and are combined with leg measurements to assess vasoactive states. Currently, it is unknown if leg BP behaves similarly to arm BP. Purpose We compared BP changes between the brachial and post‐tibial arteries during acute BP perturbations. Methods Thirty apparently healthy subjects (57% males, 46±4 years) were studied. Both brachial and ankle systolic BP (SBP) were measured simultaneously with the oscillometric technique during resting baseline, head‐up tilt (HUT), head‐down tilt (HDT), mental stress (MS), isometric hand‐grip exercise (HG), and a cold pressor test (CPT). Results Brachial (bSBP) and ankle (aSBP) SBP at rest were significantly and highly correlated (r=0.81). Changes in bSBP were significantly and positively associated with changes in aSBP in response to HUT (r=0.46), HDT (r=0.53), MS (r=0.70), HG (r=0.63), and CPT (r=0.75). The magnitudes of bSBP and aSBP changes were not different n response to MS, HG, and CPT since all were within 5 mmHG. There were significant differences in the magnitude of changes in bSBP and aSBP in response to HDT (12±1 mmHg) and HUT (40±2 mmHg). Conclusion Both brachial and ankle BP respond similarly in many vascular reactivity maneuvers. During head‐down and head‐up tilt, however, differences in their responses may be quite large, presumably due to the hydrostatic pressure gradients created during the maneuvers. Supported by Fukuda Denshi.