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双臂收缩压差异≥10或15mmHg与周围血管疾病相关。Clark等检索2011-07之前Medline等数据库中关于双臂收缩压差异与锁骨下动脉狭窄、周围血管疾病、脑血管疾病、心血管疾病及死亡率的相关数据,使用随机效应荟萃分析,综合评估双臂收缩压差异与各研究结果之间的相关性。5项应用血管造影的侵入性研究结果显示,一侧锁骨下动脉狭窄(>50%)的患者双臂平均收缩压差异为36.9mmHg,双臂收缩压差异≥10mmHg与锁骨下动脉狭窄明显相关。在非侵入研究中,双臂收缩压差异≥15mmHg与周围血管疾病、脑血管疾病及死亡率相关。双臂收缩压差异≥10或15mmHg可能有助于确定患者是否需要进一步心血管评估。双臂收缩压差异≥15mmHg可能预示患者存在心血管疾病和死亡的风险。
Differences in arms and arms systolic blood pressure ≥ 10 or 15mmHg and peripheral vascular disease. Clark et al. Searched data from Medline et al. For data on differences in systolic blood pressure and subclavian artery stenosis, peripheral vascular disease, cerebrovascular disease, cardiovascular disease, and mortality prior to 2011-07 using a randomized meta-analysis of meta-analyzes Differences in arm systolic pressure and the correlation between the results of each study. Five invasive angiographic studies showed that the average bilateral arms systolic blood pressure difference was 36.9 mmHg on one side of the subclavian artery stenosis (> 50%), and the difference of systolic blood pressure of arms ≥10 mmHg was significantly associated with subclavian artery stenosis. In noninvasive studies, the difference in systolic blood pressure of arms ≥ 15 mm Hg was associated with peripheral vascular disease, cerebrovascular disease, and mortality. Differences in arms systolic blood pressure ≥10 or 15 mmHg may help to determine if a patient needs further cardiovascular assessment. Differences in systolic blood pressure of arms ≥ 15 mm Hg may indicate a patient’s risk of cardiovascular disease and death.