An increased interarm systolic blood pressure (SBP) difference of ≥10 mm Hg is associated with increased cardiovascular risk and a difference of ≥15 mm Hg with increased cerebrovascular risk. The stroke population presents a high-risk group for future cardiovascular and cerebrovascular events and therefore estimation of interarm SBP difference as a predictive tool may assist with further secondary stroke prevention. The aim of the study was to determine the prevalence of interarm SBP and diastolic blood pressure difference in a post-stroke population. A comprehensive assessment of secondary risk factors along with blood pressure measurements were taken 6-months' post-ischemic stroke from the Action on Secondary Prevention Interventions and Rehabilitation in Stroke cohort. Descriptive and logistic regression analyses were performed. Odds ratios and 95% confidence intervals are presented. Two hundred thirty-eight (M: F,139:99; mean age, 68.4 years) of 256 patients followed up at 6 months post-stroke had suitable blood pressure readings from both arms. Ninety-six patients (40.3%) had an interarm SBP difference of ≥10 mm Hg and 49 (20.6%) had a difference of ≥15 mm Hg. A history of hypertension, diabetes, smoking, and obesity was not significantly associated with an increased risk of interarm SBP difference. After multivariate logistic analysis, a history of alcohol excess was associated with an increased IASBP ≥15 mm Hg (odds ratio 2.32, 95% confidence interval 1.03-5.22). We have demonstrated that interarm SBP difference is commonly seen in a post stroke population.

中文翻译：

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中风后人群的臂间血压差异。

≥10 mm Hg的升高的臂间收缩压（SBP）差异与心血管风险增加相关，而≥15 mm Hg的差异与脑血管风险增加相关。中风人群是未来心血管和脑血管事件的高危人群，因此，估计臂间SBP差异作为一种预测工具可能有助于进一步的继发性中风预防。该研究的目的是确定卒中后人群中臂间SBP的患病率和舒张压差异。在卒中后6个月的缺血性卒中后，对卒中后6个月的继发危险因素和血压进行了综合评估。进行描述性和逻辑回归分析。介绍了赔率和95％的置信区间。在卒中后6个月随访的256例患者中的238例（男：F：139：99；平均年龄为68.4岁），其双臂均有适当的血压读数。96名患者（40.3％）的手臂间SBP差异≥10 mm Hg，49名（20.6％）的手臂间SBP差异≥15 mm Hg。高血压，糖尿病，吸烟和肥胖病史与臂间SBP差异增加的风险没有显着相关。经过多因素Logistic分析后，酒精过量的病史与IASBP≥15 mm Hg升高有关（赔率2.32，95％置信区间1.03-5.22）。我们已经证明，在卒中后人群中常见臂间SBP差异。在卒中后6个月随访的256例患者中，有4年的随访时间，两臂都有适当的血压读数。96名患者（40.3％）的手臂间SBP差异≥10 mm Hg，49名（20.6％）的手臂间SBP差异≥15 mm Hg。高血压，糖尿病，吸烟和肥胖病史与臂间SBP差异增加的风险没有显着相关。经过多因素Logistic分析后，酒精过量的病史与IASBP≥15 mm Hg升高有关（赔率2.32，95％置信区间1.03-5.22）。我们已经证明，在卒中后人群中常见臂间SBP差异。在卒中后6个月随访的256例患者中，有4年的随访时间，两臂都有适当的血压读数。96名患者（40.3％）的手臂间SBP差异≥10 mm Hg，49名（20.6％）的手臂间SBP差异≥15 mm Hg。高血压，糖尿病，吸烟和肥胖病史与臂间SBP差异增加的风险没有显着相关。经过多因素Logistic分析后，酒精过量的病史与IASBP≥15 mm Hg升高有关（赔率2.32，95％置信区间1.03-5.22）。我们已经证明，在卒中后人群中常见臂间SBP差异。高血压，糖尿病，吸烟和肥胖病史与臂间SBP差异增加的风险没有显着相关。经过多因素Logistic分析后，酒精过量的病史与IASBP≥15 mm Hg升高有关（赔率2.32，95％置信区间1.03-5.22）。我们已经证明，在卒中后人群中常见臂间SBP差异。高血压，糖尿病，吸烟和肥胖病史与臂间SBP差异增加的风险没有显着相关。经过多因素Logistic分析后，酒精过量的病史与IASBP≥15 mm Hg升高有关（赔率2.32，95％置信区间1.03-5.22）。我们已经证明，在卒中后人群中常见臂间SBP差异。