A member asked:

My left and right arms have the same diastolic bp, but systolic bp in right arm always ~15mmhg higher than left. when under stress (e.g. pulse 135bpm), the difference between r/l systolic bp increases to 27mmhg. why? is it significant?

2 doctors weighed in across 2 answers
Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

BP is often higher on the right arm but it's usually less than 10 mmHg. If your left arm radial pulse is as strong as the right, I do not concern. If the left radial pulse is weak, left subclavian artery stenosis can be the culprit but it is rare at your age unless you had procedure done in that area before. A bruit can be heard if the artery is stenosed. R arm BP should be used for assessing HTN.

Answered 5/3/2022

0 views

Thank

I agree with Dr. Le's advice, but I recommend consulting a vascular surgeon for evaluation & advice. Such a difference could be a sign of atherosclerosis and I would review your lipid & blood sugar levels. I assume you don't smoke. As has been mentioned, the BP in the right arm( higher) is the valid BP.

Answered 5/3/2022

0 views

Thank

Related Questions

Sponsored Content
HealthTap Medical Group does not endorse products or services. Sponsored content revenues support our mission to make health information free and accessible to all.Learn more