Différence de Pression Artérielle Inter-Bras et Risque Cardiovasculaire Selon le Score de Framingham Chez l’Adulte Ivoirien
Inter-Arm Blood Pressure Difference and Cardiovascular Risk According to Framingham Score in Ivorian Adults
DOI :
https://doi.org/10.5281/hra.v3i1.6379Mots-clés :
pression artérielle inter-bras, risque cardiovasculaire, score de FraminghamRésumé
ABSTRACT
Introduction. Inter-arm blood pressure difference (IAD) is a well-established clinical practice worldwide. However, the relationship between IAD and cardiovascular disease is not well known. We conducted this study to determine the correlation between IAD and cardiovascular risk according to the Framingham risk score (FRS). Materials and method. We conducted a prospective and analytic study (July 2014-March 2015) involving 151 outpatient and uncomplicated hypertensive patients. We investigated the correlation between IAD and overall cardiovascular risk. Results. The mean age was 58.92 ± 8.97 years with 56.5% of males (91/151). Mean IAD was 8.98±11.71 mmHg for systolic Inter-arm blood pressure difference (IADs) and 4.41±2.86 mmHg for diastolic Inter-arm blood pressure difference (IADd). The prevalence of IADs greater than 10 mmHg was 31.8%, and that of the IADd greater than 10 mmHg was 6.62%. IADs were correlated with the number of cardiovascular risk factors (r=0.24, p=0.003), body mass index (r=0.26, p=0.003), and waist circumference (r =0.32, p<0.0001), but poorly correlated with overall cardiovascular risk (r=0.15, p=0.052). Conclusion. IAD seems to be correlated with overall cardiovascular risk and anthropometric indices of mass, especially body mass index (BMI) and waist circumference.
RÉSUMÉ
Introduction. La différence de pression artérielle inter-bras (IAD) est une pratique clinique bien établie dans le monde entier. Cependant, la relation entre l'IAD et les maladies cardiovasculaires n'est pas bien connue. Nous avons mené cette étude pour déterminer la corrélation entre l'IAD et le risque cardiovasculaire selon le score de Framingham (FRS). Matériels et méthodes. Nous avons mené une étude prospective et analytique (juillet 2014 - mars 2015) impliquant 151 patients hypertendus ambulatoires et non compliqués. Nous avons étudié la corrélation entre l'IAD et le risque cardiovasculaire global. Résultats. L'âge moyen était de 58,92 ± 8,97 ans avec 56,5 % d'hommes (91/151). La moyenne de l'IAD était de 8,98 ± 11,71 mmHg pour la différence de pression artérielle systolique inter-bras (IADs) et de 4,41 ± 2,86 mmHg pour la différence de pression artérielle diastolique inter-bras (IADd). La prévalence de l'IADs supérieure à 10 mmHg était de 31,8 %, et celle de l'IADd supérieure à 10 mmHg était de 6,62 %. L'IADs était corrélée avec le nombre de facteurs de risque cardiovasculaire (r=0,24, p=0,003), l'indice de masse corporelle (r=0,26, p=0,003) et la circonférence abdominale (r=0,32, p<0,0001), mais faiblement corrélée avec le risque cardiovasculaire global (r=0,15, p=0,052). Conclusion. L'IAD semble être corrélée avec le risque cardiovasculaire global et les indices anthropométriques de masse, notamment l'indice de masse corporelle (IMC) et la circonférence abdominale.
Références
1. Su HM, Lin TH, Hsu PC, Chu CY, Lee WH, Chen SC et al. Association of interarm systolic blood pressure difference with atherosclerosis and left ventricular hypertrophy. PLoS One.2012; 7 : e 41173.
2. Clark CE, Warren FC, Boddy K, McDonagh STJ, Moore SF, Goddard J, et al. Associations Between Systolic Interarm Differences in Blood Pressure and Cardiovascular Disease Outcomes and Mortality: Individual Participant Data Meta-Analysis, Development and Validation of a Prognostic Algorithm: The INTERPRESS-IPD Collaboration. Hypertension. 2021 ;77:650-61.
3. Chalmers J, Mac Mahon S, Mancia G, Whitworth J, Beilin L, Hansson L et al. World Health Organization-International Society of Hypertension Guidelines for the management of hypertension. Guidelines sub-committee of the World Health Organization. Clinical and Experimental Hypertension. 1999; 21 : 1009-60.
4. Townsend RR, Ian BW, Schiffrin EL, Avolio AP, Chirinos JA, Cockcroft JR et al . Recommendations for Improving and Standardizing Vascular Research on Arterial Stiffness: A scientific statement from the American heart association. Hypertension. 2015; 66: 698-722.
5. James PA, Oparil S, Carter BL, Cushman WC, Cheryl DH, Handler J et al. Evidence-Based Guideline for the Management of High Blood Pressure in Adults Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014; 311 : 507-20.
6. Giuseppe M, Fagard R, Krzysztof N, Redon J, Zanchetti A, Bo¨hm M et al. Guidelines for the management of arterial hypertension. The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2013; 31: 1281-357.
7. CE Clark, JL Campbell and RJ Powell. The interarm blood pressure difference as predictor of cardiovascular events in patients with hypertension in primary care: cohort study. J Hum Hypertens. 2007; 21: 633-8.
8. Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk factor categories. Circulation. 1998 ;97:1837-47.
9. D'Agostino RB Sr, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation. 2008;117:743-53.
10. Stone NJ, Robinson JG,Lichtenstein AH, Bairey Merz CN, Blum CB, Eckel RH, et al. American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014 ;63:2889-934.
11. CVD CHECK. Avalable on : CVD Check : Calculator. Accessed on 22th August 2021.
12. Coronary Heart Disease Risk Calculator. Avalable on : Coronary Heart Disease Risk Calculators Medical College of Wisconsin (mcw.edu). Accessed on 22th August 2021.
13. Clark CE, Steele AM, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL.Interarm blood pressure difference in people with diabetes: measurement and vascular and mortality implications: a cohort study. Diabetes Care.2014; 37 : 1613-20.
14. Weinberg I , Gona P , O'Donnell CJ , Jaff MR , Murabito JM.The systolic blood pressure difference between arms and cardiovascular disease in the Framingham Heart Study. Am J Med. 2014; 127 : 209-15.
15. Lane D, Beevers M, Barnes N, Bourne J, John A, Malins S,. Inter-arm differences in blood pressure: when are they clinically significant? J Hypertens. 2002; 20:1089-95
16. Ormes S, Ralph SG, Birchall A, Lawson-Matthew P, McLean K, Channer KS. The normal range for inter-arm differences in blood pressure. Age Ageing. 1999; 28: 537-42.
17. Alon G, Avraham W, Yichayaou B, Nira M-K, Hefziba G, Ehud G. Inter-arm blood pressure difference in hospitalized elderly patients-is it consistent? J Clin Hypertens. 2014; 16 : 187-278
18. Aboyans V, Kamineni A, Allison MA, McDermott MM, Crouse JR, Ni H, et al. The epidemiology of subclavian stenosis and its association with markers of subclinical atherosclerosis: the Multi-Ethnic Study of Atherosclerosis. Atherosclerosis .2010; 211: 266-70.
19. Singer AJ, Hollander JE. Blood pressure: assessment of interarm differences. Arch Intern Med. 1996;156:2005-8.
20. Kyoung BK, Mi KH, Haa GK, Ji HK, Soo HL, Su MK. Inter-arm differences in simultaneous blood pressure measurements in ambulatory Patients without cardiovascular diseases. Korean J Fam Med. 2013; 34: 98-106.
21. Mehlsen J, Wiinberg N. Interarm difference in blood pressure: reproducibility and association with peripheral vascular disease. Int J Vasc Med. 2014; 2014: 841542.
22. Arnett DK , Tang W, Province MA, Oberman A, Ellison RC, Morgan D, et al. Interarm differences in seated systolic and diastolic blood pressure: the Hypertension Genetic Epidemiology Network study. J Hypertens. 2005 ;23:1141-7.
23. Agarwal SK. Interarm systolique blood pressure difference is asociated with a higher incidence of ischemic stroke. Disease. 2013; 3, 5-6.
24. Clark CE, Powell RJ . The differential blood pressure sign in general practice: Prevalence and prognostic value. Fam Pract .2002; 19:439-41.
25. Clark CE, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL. Association of a différence in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta-analysis.Lancet. 2012; 379 :905-14.
26. Quiroga B, Galán I, García de Vinuesa S, Goicoechea M, Verdalles Ú, Luño J. Interarm systolic blood pressure as a predictor of cardiovascular events in patients with chronic kidney disease. Nephrol Dial Transplant 2015; 30 : 801-6.
27. Weiss A, Grossman A, Beloosesky Y, Koren-Morag N, Green H, Grossman E. Inter-arm blood pressure difference in hospitalized elderly patients is not associated with excess mortality.
28. Mendelson G, Nassimiha D, Aronow WS. Simultaneous measurements of blood pressures in right and left brachial arteries. Cardiol Rev 2004; 12: 276-8.
29. Singh S, Sethi A, Singh M, Khosla K, Grewal N, Khosla S. Simultaneously measured inter-arm and inter-leg systolic blood pressure differences and cardiovascular risk stratification: a systemic review and meta-analysis. J Am Soc Hypertens. 2015;9:640-50.e12.
30. Johansson JK, Puukka PJ, Jula AM. Interarm blood pressure difference and target organ damage in the general population. J Hypertens. 2014; 32: 260-6.
31. Hoeven NV, Lodestijn S, Nanninga S, van Montfrans GA, van den Born BJ. Simultaneous compared with sequential blood pressure measurement results in smaller inter-arm blood pressure differences. J Am Soc Hypertens. 2013; 15: 839-44.
32. Ma W, Zhang B, Yang Y, Qi L, Meng L, Zhang Y, et al. The relationship between inter-arm systolic blood pressure and cardiovascular risk factors. J Hypertens. 2015; 33: e11.
33. Anders O, Bharath AV, Veronica RSF, Colin OW, Khurram N, Eui-Young C et al. Resting Heart rate as predictor for left ventricular dysfunction and heart failure: The multi-ethnic study of atherosclerosis. J Am Coll Cardiol. 2014; 63 : 1182-9.
34. Kimura A, Hashimoto J, Watabe D, Takahashi H, Ohkubo T, Kikuya M,et al. Patient characteristics and factors associated with inter-arm difference of blood pressure measurements in a general population in Ohasama, Japan. J Hypertens.2004; 22 : 2277-83.
35. Sheng CS, Liu M, Zeng WF, Huang QF, Li Y, Wang JG. Four-limb blood pressure as predictors of mortality in elderly chinese. Hypertens. 2013; 61:1155-60.
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© Fatouma Sall, Christophe Meneas, Marie Nina Koffi, Pinnin Ouattara, Anicet Kassi Adoubi 2024
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