Open AccessInterarm blood pressure differences predict target organ damage in type 2 diabetes
Author(s) -
Spannella Francesco,
Giulietti Federico,
Fedecostante Massimiliano,
Ricci Maddalena,
Balietti Paolo,
Cocci Guido,
Landi Laura,
Bonfigli Anna Rita,
Boemi Massimo,
Espinosa Emma,
Sarzani Riccardo
Publication year - 2017
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.12963
Subject(s) - medicine , blood pressure , diabetes mellitus , cardiology , nephropathy , type 2 diabetes , odds ratio , left ventricular hypertrophy , pulse pressure , type 2 diabetes mellitus , population , diabetic retinopathy , retinopathy , end organ damage , vascular disease , endocrinology , environmental health
Patients with type 2 diabetes mellitus are at high risk for atherosclerotic disease, and proper blood pressure measurement is mandatory. The authors examined the prevalence of an interarm difference ( IAD ) in blood pressure and its association with cardiovascular risk factors and organ damage (nephropathy, retinopathy, left ventricular hypertrophy, and vascular damage) in a large diabetic population. A total of 800 consecutive patients with type 2 diabetes mellitus were evaluated with an automated simultaneous bilateral device (men: 422 [52.8%]; mean age: 68.1±12.2 years). Diabetic patients with systolic IAD ≥5 and systolic IAD ≥10 mm Hg showed an increased risk of having vascular damage (adjusted odds ratios: 1.73 and 2.49, respectively) and higher pulse pressure. IAD is highly prevalent in patients with diabetes, is associated with vascular damage, even for IAD ≥5 mm Hg, and should be accurately obtained to avoid underdiagnosis and undertreatment of hypertension.