Relationship between inter-arm difference in systolic blood pressure and arterial stiffness in community-dwelling

Marco Canepa1, Yuri Milaneschi, Pietro Ameri

  • 1Longitudinal Studies Section, Translational Gerontology Branch, NIA/NIH, Baltimore, MD; Laboratory of Cardiovascular Sciences, Human Cardiovascular Studies Unit, NIA/NIH, Baltimore, MD; Department of Internal Medicine, University of Genova, Genova, Italy.

Insights

Significant inter-arm blood pressure difference (IADSBP) is linked to arterial stiffness. This study found higher carotid-femoral pulse wave velocity (CF-PWV) in older adults with IADSBP ≥10 mmHg, indicating increased arterial stiffness.

Area of Science:

  • Cardiovascular Medicine
  • Gerontology
  • Biomedical Engineering

Background:

  • A significant inter-arm difference in systolic blood pressure (IADSBP) is associated with adverse cardiovascular outcomes.
  • Arterial stiffness is a potential mediator of this association.

Purpose of the Study:

  • To investigate the relationship between significant IADSBP and arterial stiffness, measured by carotid-femoral pulse wave velocity (CF-PWV).

Main Methods:

  • Analysis of data from the Baltimore Longitudinal Study of Aging, including 1045 participants.
  • Assessment of IADSBP (≥10 mmHg) and CF-PWV at baseline and over an 8-year period.
  • Multivariate analyses to identify correlates of IADSBP and its association with CF-PWV.

Main Results:

  • Participants with IADSBP ≥10 mmHg exhibited significantly higher CF-PWV (8.2±2 vs 7.3±1.9, P=.002).
  • IADSBP ≥10 mmHg was significantly associated with higher CF-PWV cross-sectionally (OR, 1.19) and longitudinally (OR, 1.15).
  • Independent correlates of IADSBP included female sex, Caucasian race, higher BMI, diabetes, and lower HDL cholesterol.

Conclusions:

  • Significant IADSBP is associated with increased arterial stiffness in community-dwelling older adults.
  • Arterial stiffness may play a role in the cardiovascular risks associated with IADSBP.

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