The Effect of Peripheral Vascular Resistance on the Systolic Blood Pressure Difference Along an Extremity

Background: Interarm systolic blood pressure difference more than 10 mm of Hg is predictor of cardiovascular and metabolic risk. Despite of sufficient physical activity there is high prevalence of obesity in police personal because of stressful working environment. No studies have addressed the significance of interarm pressure difference among them. Therefore, the present study conducted to access the relation of interarm blood pressure difference with obesity in police personnel. Aims and Objective: To estimate the interarm pressure difference in police personal to see its association with their obesity. Material and Method: This cross-sectional observational study done on 245 police workers in PAC, Sitapur, India. Subjects having more than ten years of working experience were included in study. Anthropometric measurements of subject recorded by following standard protocol. Measurement of systolic pressure in both arm recorded simultaneously by mercury sphygmomanometer. Available data analyze and expressed in percentage, mean with SD and chi square test to see the significance of association. Results: According to anthropometric results of subjects 77.14 prcent subjects were having generalised obesity and 82.04 percent of subjects having abdominal obesity. 34.29 percent of subjects showed abnormally high (?10 mmHg) inter-arm systolic blood pressure difference. Both type of obesity showed positive association with blood sugar level but no association with interarm pressure difference. Conclusion: Interarm blood pressure difference is greater in individual having obesity or prolong duration of service. Such subjects are more susceptible to develop coronary artery disease or peripheral arterial disease in future. Early screening can help to detect the vascular events likely to occur in the future Keywords: Body mass index, Waist circumference, Interarm pressure difference, Random blood sugar

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Association between an elevated inter-arm systolic blood pressure difference, the ankle–brachial index, and mortality in patients with diabetes mellitus

Clínica e Investigación en Arteriosclerosis ◽

10.1016/j.arteri.2019.11.003 ◽

2020 ◽

Vol 32 (3) ◽

pp. 94-100

Author(s):

Javier Ena ◽

Santiago Pérez-Martín ◽

Carlos R. Argente ◽

Teresa Lozano

Keyword(s):

Diabetes Mellitus ◽

Blood Pressure ◽

Systolic Blood Pressure ◽

Pressure Difference ◽

Ankle Brachial Index ◽

Blood Pressure Difference ◽

Patients With Diabetes

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Cardiovascular actions of beta-phenylethylamine

AJP Heart and Circulatory Physiology ◽

10.1152/ajpheart.1979.236.4.h592 ◽

1979 ◽

Vol 236 (4) ◽

pp. H592-H595

Author(s):

C. S. Liang ◽

D. Sprecher

Keyword(s):

Blood Pressure ◽

Vascular Resistance ◽

Left Ventricular ◽

Peripheral Vascular Resistance ◽

Adrenergic Nerve ◽

Peripheral Vascular ◽

Vascular Effects ◽

Aortic Blood ◽

Total Peripheral Vascular Resistance ◽

Aortic Blood Pressure

beta-Phenylethylamine increased mean aortic blood pressure, total peripheral vascular resistance, left ventricular dP/dt, and (dP/dt)/P in chloralose-anesthetized dogs. Pretreatment with phentolamine reduced the increases in aortic blood pressure and total peripheral vascular resistance produced by beta-phenylethylamine, whereas, the effects of beta-phenylethylamine on left ventricular dP/dt and (dP/dt)/P were abolished by propranolol. beta-Phenylethylamine pretreatment, but increased both after phentolamine pretreatment. Furthermore, both the cardiac and vascular effects of beta-phenylethylamine were abolished by desipramine. These results indicate that beta-phenylethylamine exerts both positive inotropic and vasoconstrictory effects, probably by releasing endogenous norepinephrine from the adrenergic nerve endings.

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Coevolution of the rennin–angiotensin system and the nervous control of blood circulation

Canadian Journal of Zoology ◽

10.1139/z84-022 ◽

1984 ◽

Vol 62 (2) ◽

pp. 137-147 ◽

Cited By ~ 6

Author(s):

John X. Wilson

Keyword(s):

Blood Pressure ◽

Angiotensin Ii ◽

Blood Volume ◽

Vascular Resistance ◽

Renin Angiotensin System ◽

Peripheral Vascular Resistance ◽

Peripheral Vascular ◽

Angiotensin System ◽

Renin Angiotensin ◽

Arterial Blood

The mammalian renin–angiotensin system appears to be involved in the maintenance of blood volume and pressure because (i) sodium depletion, hypovolemia, and hypotension increase renin levels, and (ii) administration of exogenous angiotensin II rapidly increases mineralocorticoid and antidiuretic hormone production, transepithelial ion transport, drinking behavior, and peripheral vascular resistance. Are these also the physiological properties of the renin–angiotensin system in nonmammalian species? Signals for altered levels of renin activity have yet to be conclusively identified in nonmammalian vertebrates, but circulating renin levels are elevated by hypotension in teleost fish and birds. Systemic injection of angiotensin II causes an increase in arterial blood pressure in all the vertebrates studied, suggesting that barostatic control is a universal function of this hormone. Angiotensin II alters vascular tone by direct action on arteriolar muscles in some species, but at concentrations of the hormone which probably are unphysiological. More generally, angiotensin II increases blood pressure indirectly, by acting on the sympathetic nervous system. Catecholamines, derived from chromaffin cells and (or) from peripheral adrenergic nerves, mediate some portion of the vasopressor response to angiotensin II in cyclostomes, elasmobranchs, teleosts, amphibians, reptiles, mammals, and birds. Alteration of sympathetic outflow is a prevalent mechanism through which the renin–angiotensin system may integrate blood volume, cardiac output, and peripheral vascular resistance to achieve control of blood pressure and adequate perfusion of tissues.

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