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Is The Coronary Arteries Occlusion Related To The Arms Where The Blood Pressure Is Taken?

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Posted on Fri, 14 Jul 2023
Question: With partial blockage of a coronary artery (e.g., on the right side), what occurs with blood pressure when taken on the side where the stenosis is located (e.g., when taken on the right arm). Is it elevated or is it lowered, and does it become unreliable when monitored?
doctor
Answered by Dr. Ilir Sharka (26 minutes later)
Brief Answer:

I would explain as follows:

Detailed Answer:

Hello,

The arm where the blood pressure is measured is not related to the coronary arteries occlusion.

It could be related to the difference in blood pressure values between both arms, which may be caused by arteriopathy in one of the arms, affecting the arm arteries, causing local changes in blood pressure, because of the artery occlusion in this level.

That is why they have asked you to measure the blood pressure only in the left arm, in order to have reliable values.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (10 minutes later)
The artery occlusion reportedly is in the right arm and the blood pressure in that arm is lower than in the left where the doctors are monitoring the blood pressure in an attempt to bring it down with medication.

Is this what you would expect as reasonable?
doctor
Answered by Dr. Ilir Sharka (3 minutes later)
Brief Answer:

My answer as follows:

Detailed Answer:

Hello,

Yes, this is a reasonable approach to the patient.

The blood pressure values are not reliable in the right arm because of the arteriopathy in this arm (narrowing due to atherosclerosis).

For this reason, the blood pressure values should be monitored only in the left arm.

If blood pressure values are high in the left arm, it means that blood pressure is not under control.

Hope I have answered your query.

Take care

Regards,
Dr Ilir Sharka, Cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9539 Questions

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Is The Coronary Arteries Occlusion Related To The Arms Where The Blood Pressure Is Taken?

Brief Answer: I would explain as follows: Detailed Answer: Hello, The arm where the blood pressure is measured is not related to the coronary arteries occlusion. It could be related to the difference in blood pressure values between both arms, which may be caused by arteriopathy in one of the arms, affecting the arm arteries, causing local changes in blood pressure, because of the artery occlusion in this level. That is why they have asked you to measure the blood pressure only in the left arm, in order to have reliable values. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist