Open AccessInter‐Arm Blood Pressure Difference in Hospitalized Elderly Patients Is Not Associated With Excess Mortality
Author(s) -
Weiss Avraham,
Grossman Alon,
Beloosesky Yichayaou,
KorenMorag Nira,
Green Hefziba,
Grossman Ehud
Publication year - 2015
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12588
Subject(s) - medicine , blood pressure , cohort , diastole , cohort study , elderly people , cardiology , emergency medicine , pediatrics , gerontology
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.