Núm. 65 (2017)
Área 6. FISIOLOGÍA DEL EJERCICIO / EXERCISE PHYSIOLOGY

Monitorización de la presión arterial en esfuerzo. ¿Brazo dominante, no dominante o ambos? / Monitoring of the Arterial Pressure in Effort. Dominant, not Dominant Arm or Both?

Publicado marzo 6, 2017

Resumen

Objetivo: evaluar la diferencia de los valores de Presión arterial (PA) entre ambos brazos, medida simultáneamente, durante una prueba de esfuerzo.

Diseño del estudio: estudio transversal. Series de casos. Nivel de evidencia: 3

Material y Métodos: La población se compone de 225 deportistas sanos que realizaron una prueba de esfuerzo en nuestro centro. 128 hombres y 97 mujeres. Edad: 17± 5,5 años.

Resultados: La PA tanto sistólica como diastólica no difiere significativamente entre ambos miembros superiores. No obstante, hemos encontrado casos de variabilidad individual donde la PA predomina en un brazo durante el reposo y en el otro brazo durante el máximo esfuerzo. Los valores de TA son independientes del brazo dominante.

Conclusiones: La posibilidad que el brazo donde predomina la PA de Reposo no coincida durante el máximo esfuerzo, hace necesario, en nuestra opinión, que se mida la PA en ambos miembros superiores durante la prueba de esfuerzo.

PALABRAS CLAVE: tensión arterial, prueba de esfuerzo, brazo dominante.

 

ABSTRACT 

Objective: To evaluate different blood pressure readings between both arms.

Study design: cross-sectional study.  Case series.  Level of evidence: 3.

Methods: a population of 225 healthy athletes underwent stress tests in our center: 128 males and 97 females.  Age range: 17 +/- 5.5 years.

Results: no significant differences in systolic or diastolic blood pressure readings were found between the right or left arm.  We did, however, find cases where blood pressure is higher in one arm while resting and in the other arm during maximal exercise.  Blood pressure readings were not associated with the dominant arm.

Conclusions: The possibility that the arm in which there is a predominant rest blood pressure does not coincide during maximum stress, makes it necessary, according to our judgment, to measure blood pressure in both upper limbs during stress tests.

KEY WORDS: blood pressure, stress test, dominant arm.

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