Variation in Blood Pressure and Pulse in Inter-arms and Its Management

Abstract

Background: Blood pressure is vital sign, along with heart rate, oxygen saturation, respiratory rate

and body temperature. Blood pressure, in normal adult, is approximately 120/80 mmHg. Difference between

measured systolic and diastolic pressures is called pulse pressure. Pulse pressure is due to cardiac output.

Blood pressure should be measured in both arms at first visit because differences exist and measurement in

only one arm may lead to under diagnosis of hypertension. Confirmation of an inter-arm difference requires

a method of repeated simultaneous measurement, to avoid overestimation of prevalence.

Method: Apparatus used is digital sphygmomanometer. Blood pressure and pulse rate is measured of both

arms, thrice each time, concordant readings are considered and noted for this purpose of blood pressure and

pulse rate in different age groups persons.

Result: Total Persons investigated of different age groups = 1126, Males = 517, Females = 609, total SBPV

in range of 0-10mmHg =936, 11-20mmHg=178, 21-30mmHg=12. DBPV in range of 0-10mmHg=1097,11-

20mmHg= 26, 21-30mmHg=3.PV=26, 0-10mmHg=1109,11-20mmHg=15, 21-30mmHg=2. Diseased

persons=325, Normal persons=801.

Conclusion: Variation in blood pressure and pulse rate in inter-arms observed in different age groups from

0-10mmHg to 21-30mmHg. More variation may show cardiovascular disease in individual. Total person

investigated are 1126 out of which 801 are normal and 325 are suffering with hypertension, diabetes,

hypertension with diabetes and hypotension. Maximum variation is found in 0-10mmHg in systolic blood

pressure, diastolic blood pressure and pulse which is not showing significant diseases and minimum in 21-

30mmHg which is showing cardiovascular diseases and their probabilities.