2.50
Hdl Handle:
http://hdl.handle.net/10755/152412
Type:
Presentation
Title:
Blood Pressure Measurement and Misdiagnosis of Hypertension in Women
Abstract:
Blood Pressure Measurement and Misdiagnosis of Hypertension in Women
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Arcuri, Edna Apparecida Moura, RN, PhD
P.I. Institution Name:Universidade de Guarulhos
Title:Full Professor
Co-Authors:Sonia M. J. V. Oliveira, RN, PhD; Silvia M. Arcuri, MD, PhD; Eugenia Velludo Veiga, RN, PhD; Jair L. F. Santos, MSc, PhD
Background: In 1983 we measured blood pressure (BP) in 450 women and 450 men, using correct cuff width (CCW, ratio arm circumference/cuff width of 0.40), as recommended by the American Heart Association (AHA). BP readings were compared to those recorded with the standard cuff width (SCC - 12 cm large). Employing cuffs varying from 8 - 14 cm we found lean females requiring CCW 8 to 10 cm large, presenting normal BP values with SCW, but hypertensive ones with CCW. Objective: To evaluate the development of hypertension and cardiovascular complications within the original sample in the past 21 years, looking at gender differences. Method: From 1983 to 2004 we followed 221 females and 219 males using cuffs 8 - 11 cm. Hypertension and cardiovascular complications were assessed in 2004, using standard cuff (12 cm). Results: We found an inverted proportion of hypertension between females and males, according to cuff 8, 9, 10 and 11, respectively: 0.39 vs. 0 (p = 0.004); 0.25 vs. 0.19 (p < 0.001); 0.25 vs. 0.21 (p = 0.095); 0.11 vs. 0.23 (p =0.024). Similarly, the proportion of cardiovascular complications between females and males were also inverted: 0.04 vs. 0. (p < 0.001); 0.07 vs. 0 (p = 0.003); 0.14 vs. 0.14 (p =0.011); 0 vs. 0.11 (p < 0.001). The differences found with cuff width 8 and 11 between males and females are striking. Eight cases of hypertension and two complications occurred during pregnancy. The leanest women died in 2005 from stroke. Discussion: Our findings confirm the SCW(12 cm) inadequacy to measure BP, in women, and also in men. We suggest that lean women suffer from complications due to misdiagnosis and mistreatment of hypertension. The 2005 AHA statement recommending cuffs 12 cm large to arm circumferences 22-26 cm is inadequate and should be reviewed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBlood Pressure Measurement and Misdiagnosis of Hypertension in Womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152412-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Blood Pressure Measurement and Misdiagnosis of Hypertension in Women</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Arcuri, Edna Apparecida Moura, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Universidade de Guarulhos</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Full Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">earcuri@globo.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sonia M. J. V. Oliveira, RN, PhD; Silvia M. Arcuri, MD, PhD; Eugenia Velludo Veiga, RN, PhD; Jair L. F. Santos, MSc, PhD</td></tr><tr><td colspan="2" class="item-abstract">Background: In 1983 we measured blood pressure (BP) in 450 women and 450 men, using correct cuff width (CCW, ratio arm circumference/cuff width of 0.40), as recommended by the American Heart Association (AHA). BP readings were compared to those recorded with the standard cuff width (SCC - 12 cm large). Employing cuffs varying from 8 - 14 cm we found lean females requiring CCW 8 to 10 cm large, presenting normal BP values with SCW, but hypertensive ones with CCW. Objective: To evaluate the development of hypertension and cardiovascular complications within the original sample in the past 21 years, looking at gender differences. Method: From 1983 to 2004 we followed 221 females and 219 males using cuffs 8 - 11 cm. Hypertension and cardiovascular complications were assessed in 2004, using standard cuff (12 cm). Results: We found an inverted proportion of hypertension between females and males, according to cuff 8, 9, 10 and 11, respectively: 0.39 vs. 0 (p = 0.004); 0.25 vs. 0.19 (p &lt; 0.001); 0.25 vs. 0.21 (p = 0.095); 0.11 vs. 0.23 (p =0.024). Similarly, the proportion of cardiovascular complications between females and males were also inverted: 0.04 vs. 0. (p &lt; 0.001); 0.07 vs. 0 (p = 0.003); 0.14 vs. 0.14 (p =0.011); 0 vs. 0.11 (p &lt; 0.001). The differences found with cuff width 8 and 11 between males and females are striking. Eight cases of hypertension and two complications occurred during pregnancy. The leanest women died in 2005 from stroke. Discussion: Our findings confirm the SCW(12 cm) inadequacy to measure BP, in women, and also in men. We suggest that lean women suffer from complications due to misdiagnosis and mistreatment of hypertension. The 2005 AHA statement recommending cuffs 12 cm large to arm circumferences 22-26 cm is inadequate and should be reviewed.</td></tr></table>en_GB
dc.date.available2011-10-26T11:35:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:35:20Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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