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Hypertension: Reduce the risk by changing the way you sleep

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Blood Pressure: Τι σοβαρό σημαίνει όταν έχει διαφορά ανάμεσα στα δύο χέρια

by sierafm
23/12/20 11:34
in HEALTH-NUTRITION
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Strong evidence from a large international study confirms that the difference in blood pressure measurements between the right and left hand is associated with a higher risk of heart attack., stroke and death.

Which scientific bodies conducted the new research on blood pressure

Led by the University of Exeter, the global scientific collaboration with the name INTERPRESS-IPD performed a meta-analysis of all available relevant surveys and then merged data from 24 global studies to create a database with approx 54.000 individuals. The data concerned adults from Europe, the USA, Africa and Asia for whom blood pressure measurements were available in both hands.

Funded by British National Research Institute for Health (NIHR) and published yesterday in the scientific journal Hypertension, this study is the first to conclude that the greater the difference in blood pressure from one hand to the other, the greater the additional risk to the patient's health.

Currently, International Blood Pressure Guidelines Advise Health Professionals to Measure Blood Pressure in Both Hands When Examining for Cardiovascular Risk Assessment, but this is widely ignored. The new study provides one new "normal" ceiling for the difference in blood pressure between the two hands, which is significantly lower than the current directive. The research could lead to a change in international guidelines for hypertension, which means that more patients at risk could be identified and receive potential life-saving treatments.

The instruction to take blood pressure in both hands is not followed in practice

The researchers analyzed data on the difference in blood pressure between a person's two hands and recorded the number of deaths., heart attacks and strokes in a range of over 10 years.

The lead author and doctor dr. Chris Clark, of the Medical School of the University of Exeter, he stated: "Taking blood pressure in both hands is a common practice for monitoring blood pressure., is inexpensive and can take place in any healthcare setting, without the need for additional or expensive equipment. Although international guidelines suggest that blood pressure should always be taken in both hands, in practice this only happens half the time at best, usually due to time constraints. "Our research shows that the little extra time it takes to measure blood pressure in both hands could ultimately save lives." .

And he continued: "We have known for a long time that The difference in blood pressure from one hand to the other is associated with poorer health outcomes. The large-scale INTERPRESS-IPD survey helps us to understand it in more detail. He tells us that the greater the difference in blood pressure between the two hands, the greater the cardiovascular risk, so it is very important to take the pressure in both hands to see which patients may be at significantly increased risk. ".

Blood Pressure: What is, how it is measured and why the difference from one hand to the other plays a role

Blood pressure rises and falls in proportion to each pulse. It is measured in millimeters of mercury (mmHg) and the indication is always given in two numbers: the superior (systolic pressure, also known as "big") indication represents the maximum blood pressure and the lowest (diastolic pressure, also known as "small") value is the minimum blood pressure. High systolic blood pressure indicates hypertension.

Hypertension affects one third of the adult population and is the worldwide leading cause of heart attack, stroke and death of those that can be prevented.

An important difference between systolic blood pressure measurements from one hand to the other may be indicative of a narrowing or hardening of the arteries, which can affect blood flow. Αυτές οι αρτηριακές αλλαγές αναγνωρίζονται ως ένας περαιτέρω δείκτης κινδύνου για επακόλουθη καρδιακή προσβολή, εγκεφαλικό επεισόδιο ή πρόωρο θάνατο και πρέπει να διερευνηθούν για θεραπεία.

Οι ερευνητές κατέληξαν στο συμπέρασμα ότι κάθε διαφορά mmHg που βρέθηκε μεταξύ των δύο βραχιόνων, αύξησε τον προβλεπόμενο 10ετή κίνδυνο για ένα από τα ακόλουθα κατά 1%:

  • νέα στηθάγχη
  • καρδιακή προσβολή και
  • stroke

Blood Pressure: Οι ισχύουσες και οι νέες οδηγίες για την μέγιστη διαφορά από το ένα χέρι στο άλλο

Currently, τόσο οι βρετανικές όσο και οι ευρωπαϊκές κατευθυντήριες γραμμές αναγνωρίζουν μια συστολική διαφορά 15 mmHg ή περισσότερο μεταξύ των δύο χεριών ως την βάση για πρόσθετο καρδιαγγειακό κίνδυνο. Αυτή η νέα μελέτη διαπίστωσε ότι η μείωση του ορίου στα 10 mmHg εξακολουθούσε να είναι ένδειξη πρόσθετου κινδύνου. Αυτό σημαίνει ότι πολλοί περισσότεροι άνθρωποι θα πρέπει να ακολουθούν ειδική θεραπεία εάν υπάρχει τέτοια διαφορά στην πίεση αίματος ανάμεσα στα δύο χέρια τους.

Ο συν-συγγραφέας της έρευνας, καθηγητής Victor Aboyans, επικεφαλής του τμήματος καρδιολογίας στο Πανεπιστημιακό Νοσοκομείο Dupuytren στο Limoges της Γαλλίας, he stated: “Πιστεύουμε ότι μια διαφορά 10 mmHg μπορεί τώρα λογικά να θεωρηθεί ως το ανώτατο όριο φυσιολογικού για τη συστολική πίεση ανάμεσα στα δύο χέρια. Αυτές οι πληροφορίες θα πρέπει να ενσωματωθούν σε μελλοντικές οδηγίες και κλινική πρακτική στην αξιολόγηση καρδιαγγειακού κινδύνου. Αυτό θα σήμαινε ότι πολλοί περισσότεροι άνθρωποι θα μπορούσαν να μειώσουν τον κίνδυνο καρδιακής προσβολής, εγκεφαλικού επεισοδίου και θανάτου».

Μια διαφορά στην πίεση αίματος από το ένα χέρι στο άλλο μεγαλύτερη από 10 mmHg εμφανίζεται στο 11% των ατόμων με υψηλή αρτηριακή πίεση (hypertension) and to 4% of the general population.

Source: https://medicalxpress.com

Tags: ATTRACTIVE PRESSURE
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