| Variability of four limb blood pressure in normal neonates. | |
| | |
MedLine Citation:
|
PMID: 15210667 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIMS: To assess the variation in blood pressure (BP) between limbs in normal neonates. To assess whether comparison of arm and leg BP in neonates is reproducible enough to allow the difference to raise suspicion of coarctation of the aorta. METHODS: Infants recruited from the postnatal wards and the postnatal murmur clinic underwent echocardiography and BP measurement in each limb using a Dinamap Compact T 482210. The method of BP measurement was guided by a telephone survey of 40 UK neonatal units. RESULTS: Forty healthy neonates underwent echocardiography and all had a normal aortic arch. BP was measured in 39. In three, BP in the arms was 20 mm Hg higher than in the legs. This gave a specificity of comparison of the upper and lower limb BPs of 92 (36/39) or a false positive rate of 8% (3/39). The standard deviation in BPs was 15.7 mm Hg between arms, 14.5 mm Hg between legs, and 11 mm Hg when the nearest arm and leg were compared. CONCLUSIONS: With current measurement techniques, normal neonates may have a wide variation in BP between limbs. A difference of 20 mm Hg in isolation is more likely to be due to random variability in measurement than to coarctation of the aorta. If coarctation of the aorta is suspected, it can only be excluded or confirmed by echocardiography. |
| | |
Authors:
|
D S Crossland; J C Furness; M Abu-Harb; S N Sadagopan; C Wren |
Related Documents
:
|
20545837 - Obstructive sleep apnoea and 24-h blood pressure in patients with resistant hypertension. 9892267 - Hemodialysis hypotension: interaction of inhibitors, inos, and the interdialytic period. 2860987 - Efficacy of a new antihypertensive agent (indenolol) assessed by ambulatory blood press... 16433927 - A community programme to reduce salt intake and blood pressure in ghana [isrctn88789643]. 7886717 - Carotid diameter and blood flow velocities in cerebral circulation in hypertensive pati... 6764167 - Effects of propranolol and atenolol on plasma renin activity and systolic time interval... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Archives of disease in childhood. Fetal and neonatal edition Volume: 89 ISSN: 1359-2998 ISO Abbreviation: Arch. Dis. Child. Fetal Neonatal Ed. Publication Date: 2004 Jul |
Date Detail:
|
Created Date: 2004-06-22 Completed Date: 2004-07-19 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 9501297 Medline TA: Arch Dis Child Fetal Neonatal Ed Country: England |
Other Details:
|
Languages: eng Pagination: F325-7 Citation Subset: AIM; IM |
Affiliation:
|
Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK. davidxland@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Arm
/
physiology* Blood Pressure / physiology* Blood Pressure Determination / standards* Humans Infant, Newborn / physiology* Leg / physiology* Reproducibility of Results |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Neonatal research: the parental perspective.
Next Document: Preterm meconium staining of the amniotic fluid: associated findings and risk of adverse clinical ou...