For blood pressure assessment, it has been reported that forearm blood pressure measurement appears to be as valid as an upper-arm blood pressure measurement method in individuals with severe obesity when correlated to the intra-arterial method, considered as the gold standard. Sensitivity, specificity, and predictive values for the presence of systemic hypertension in 25 severely obese patients from 352 blood pressure measurements were calculated. The sensitivity (0.98) and the positive predictive value (0.93) for hypertension on forearm blood pressure measurements are excellent, indicating that the forearm approach is a promising alternative to systemic hypertension diagnosis in severe obesity.
aQuebec Heart and Lung Institute
bFaculty of Pharmacy of Laval University
cUniversity of Quebec at Trois-Rivières, Quebec, Canada
Correspondence to Paul Poirier, MD, PhD, FRCPC, FACC, FAHA, Faculty of Pharmacy, Quebec Heart and Lung Institute, 2725 chemin Sainte-Foy, Quebec, Canada, G1V 4G5 Tel: +1 418 656 4767; fax: +1 418 656 4581; e-mail: firstname.lastname@example.org
Received May 30, 2014
Received in revised form September 10, 2014
Accepted November 13, 2014