Blood pressure measurements in patients with Takayasu arteritis: a work of caution.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 22450082.
- Also identified by DOI 10.1016/j.athoracsur.2011.09.017.
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Abstract
Takayasu arteritis is a large vessel vasculitis among young women that affects the aorta and its branches. Disease-related subclavian or brachial obstructions can lead to hypotensive brachial blood pressure values. By contrast, arterial hypertension is also frequent in this disease, possibly unrecognized in case of solitary brachial blood pressure measurement. We present the case of a 28-year-old woman with cerebral hypoperfusion related to Takayasu arteritis. Despite "pseudo-hypotensive" brachial blood pressure values of 70 mm Hg, Doppler measurement of the ankle revealed a systolic pressure of 220 mm Hg. In Takayasu vasculitis, additional ankle pressure measurement may represent the true cardiac load and blood pressure.
Medical subject headings
- Blood Pressure Determination
- Extremities
- Hypertension
- Takayasu Arteritis