Diferença nos níveis pressóricos arterial interbraços e interpernas

Abstract

Introduction: Current guidelines for the management of hypertension emphasize that blood pressure (BP) in both arms should be measured to assess the difference in BP between the arms and to better identify and control arterial hypertension. Objective: to collect primary data, identify differences in interarm and interleg systolic and diastolic blood pressure values. Objective: To identify, through bibliographic data, the difference in blood pressure values between arms and legs and its implication in clinical practice as an important diagnostic data. Methodology: This is a qualitative and explanatory integrative literature review. Data were collected through articles, books, manuals, ordinances, internet sites such as the Ministry of Health, Anvisa, Pubmed, SCIELO (Cientifica Eletronic Library Online), LILACS (Latin American and Caribbean Literature in Health Sciences), Medline (Virtual Health Library and books from the research site library), REBBEN (Brazilian Journal of Nursing) MEDLINE (Online Search and Analysis System of Medical Literature), The Lancet, National Library of Medicine, Elsevier. Results: the studies demonstrated that the association between the interarm systolic blood pressure difference (IASBPD) and the inter-leg systolic blood pressure difference (ILSBPD) measured simultaneously are associated with the presence of PAD peripheral arterial disease; a difference in SBP of 10 mm Hg or more, or 15 mm Hg or more, between the arms can help identify patients who need further vascular evaluation, in addition to being an indicator of vascular risk and death; BP differences between arms and legs are strong predictors of PAD; with a total of 206 individuals analyzed, it was possible to identify a greater risk of stroke in ABI below 0.80. Conclusion: Through the analysis of the main articles we can conclude that in fact there is a certain difference in interarm and interleg arterial pressure levels, and we can still identify several pathologies when this difference exceeds considerable normal values and thus be able to make a more accurate diagnosis through other exams more reliable.