Blood pressure measurements taken on the left and right arms yield systematically different clinical values.
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Retrieved clinical evidence demonstrates that blood pressure measurements taken between the left and right arms often exhibit significant inter-arm differences.
stolic blood pressure was similar in the right and left arms (161 mmHg versus 160 mmHg, t = 1.78, bootstrap P = 0.074, Table 2 ). In 279 patients (39.3%), there was a ≥10 mmHg systolic inter-arm difference, with the right arm having the higher reading most often (156/279 [56%] versus 123/279 [44%], Table 3 ).
Table 2.
Systolic and diastolic blood pressure in the left and right arms and compared to mean daytime pressure measured by ambulatory blood pressure monitor ( n = 710)
Variable
Mean
SE mean
SD
Median
Screening SBP and DBP in the left and right arms
Right arm SBP
161.0
0.9
22.8
158.0
Left arm SBP
160.1
0.9
23.6
157.0
Right — left arm SBP
0.9
0.5
12.9
1.0
Right arm DBP
88.7
0.5
12.9
88.0
Left arm DBP
88.0
0.5
12.7
87.5
Right — left arm DBP
0.7
0.3
8.8
3.0
Highest and lowest SBP and DBP and right and left arm SBP and DBP versus mean daytime pressure measured by ABPM
Higher SBP — daytime ABPM
25.1
0.7
18.8
23.0
Lower SBP — daytime ABPM
15.5
0.7
18.1
13.0
Right arm SBP — daytime ABPM
20.7
0.7
18.8
19.0
Left arm SBP — daytime ABPM
19.9
0.7
19.4
18.0
Higher DBP — daytime ABPM
7.7
0.4
10.8
7.0
Lower DBP — daytime ABPM
1.2
0.4
10.0
1.0
Right arm DBP — daytime ABPM
4.8
0.4
11.1
4.0
Left arm DBP — daytime ABPM
4.1
0.4
10.7
3.0
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ABPM = ambulatory blood pressure monitoring. DBP = diastolic blood pressure. SBP = systolic blood pressure. SD = standard deviation. SE = standard error. Table 3.
Inter-arm systolic and diastolic blood pressure differences
Blood pressure difference
Count, n = 710
%
Left SBP > right SBP by ≥10 mmHg
123
17.3
< 10 mmHg difference between left and right SBP
431
60.7
Right SBP > left SBP by ≥10 mmHg
156
22.0
Left DBP > right DBP by ≥10 mmHg
78
11.0
< 10 mmHg difference between left and right DBP
534
75.2
Right DBP > left DBP by≥10 mmHg
98
13.8
Absolute systolic inter-arm difference (mmHg)
0–4
222
31.3
5–9
209
29.4
10–19
197
27.7
>20
82
11.6
Total
710
100.0
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DBP = diastolic blood pressure. SBP = sys