AI Article Synopsis
- Blood pressure should be measured in both arms, as per established guidelines, which is often overlooked in practice.
- A case involving a 60-year-old male revealed an incidental difference in blood pressure between his arms, leading to the discovery of asymptomatic subclavian stenosis.
- Routine interarm blood pressure measurements are crucial not just for hypertension management but also for identifying potential vascular issues in patients.
Article Abstract
Guidelines for measuring blood pressure includes measurement of blood pressure on both arms but it is often ignored. Our case report aims at highlighting the need follow the guidelines. A 60 year old 59 kg weighing male asymptomatic patient without any comobidities was posted for bilateral inguinal hernia repair. The interarm blood pressure difference was discovered incidentally during his preanaesthetic evalution. On further evaluation patient was found to be having subclavian stenosis on left side which was asymptomatic. Intraoperative and post operative period was uneventful. Blood pressure measurement should be done in accordance with the stipulated guidelines. Inter arm blood pressure difference should be noted in all patients as not only for diagnosis and treatment of hypertension but also as a tool to diagnose asymptomatic peripheral vascular disesase.
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