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자료유형
학술저널
저자정보
송보미 (연세대학교) 김현창 (연세대학교) 심지선 (Cardiovascular and Metabolic Disease Etiology Research Center) 이명하 (연세대학교) 최동필 (연세대학교)
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.46 No.3
발행연도
2016.1
수록면
374 - 383 (10page)

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Background and Objectives: We investigated the inter-arm difference in blood pressure of the general Korean population to identifyassociated factors. Subjects and Methods: A total of 806 participants aged 30 to 64 years without history of major cardiovascular disease were analyzed inthis cross-sectional study. They participated in the Cardiovascular and Metabolic Disease Etiology Research Center cohort study thatbegan in 2013. Brachial blood pressure was measured simultaneously for both arms using an automated oscillometric device equippedwith two cuffs in seated position. After five minutes of rest, systolic blood pressure (SBP) and diastolic blood pressure (DBP) weremeasured three times. The average of the three measurements was used for analysis. Multivariate logistic regression models were used toidentify factors associated with inter-arm differences in blood pressure. Results: The mean inter-arm difference was 3.3 mmHg for SBP and 2.0 mmHg for DBP. Large inter-arm differences (≥10 mmHg) in SBPand in DBP were found in 3.7% and 0.9% of subjects, respectively. A large inter-arm difference in SBP was associated with mean SBP(p=0.002) and C-reactive protein (p=0.014) while a large inter-arm different in DBP was only associated with body mass index (p=0.015). Sex, age, and anti-hypertensive medication use were not associated with differences in inter-arm blood pressure. Conclusion: Large inter-arm difference in blood pressure is only present in a small portion of healthy Korean adults. Our findings suggestthat high SBP, chronic inflammation, and obesity may be associated with larger difference in inter-arm blood pressure.

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