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Difference in Blood Pressure in Two Arms

Difference in Blood Pressure in Two Arms

Posted by: sunnil kumar

MY FATHER IS AGED 90 YEARS OLD.HE HAD A PROBLEM THAT HIS PRESSURE READING IS 180/100 FOR LEFT HAND AND 120/80 OR RIGHT HAND.HE IS VERY WEAK NOW .CANT GETUP.HIS RIGHT LEG IS VERY WEAK. WHY THE PRESSURE DIFFERENCE SEEN AND WHAT IS THE TREATMENT?


Dear Sunil,
An acceptable inter-arm systolic blood pressure difference is 10mmHg.
If the blood pressure difference is high (he may need to confirm this with a doppler), an underlying condition should be sought. Congenital conditions in the differential diagnosis include aortic coarctation and thinning of 1 of the subclavian, axillary, or brachial arteries. Acquired arterial conditions include aortic dissection, atheroma, thrombus, embolus, and extrinsic compression (as might be seen in association with a mass in the upper chest).

In this case you should have a contrast-enhanced CT of the chest to effectively delineate among the possibilities mentioned above. A vascular ultrasound would be helpful as well, but the CT would better show an extrinsic compression.
Best wishes,
Dr. Manish Bhatia

About the author

Dr. Manish Bhatia

Dr. Manish Bhatia

- BHMS, BCA, M.Sc Homeopathy (UK), CICH (Greece)
- Ass. Professor, Organon & Homeopathic Philosophy, SKH Medical College, Jaipur
- Founder Director of Hpathy.com
- Editor, Homeopathy 4 Everyone
- Member, Advisory Board, Homeopathic Links
- Co-author - Homeopathy and Mental Health Care: Integrative Practice, Principles and Research
- Author - Lectures on Organon of Medicine vol 1 & 2. CCH Approved. (English, German, Bulgarian)
- Awardee - Raja Pajwan Dev Award for Excellence in the Field of Medicine; APJ Abdul Kalam Award for Excellence in Homeopathy Education
- For consultation, write to [email protected]

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