A patient with sclerosis of the brachial artery may appear to be hypertensive if the blood pressure is measured using a sphygmomanometer.
Risk factor for sclerosis of the brachial artery:
(1) elderly patient
(2) diabetic with renal disease
(1) hypertensive blood pressure readings over the upper arm
(2) failure of blood pressure to respond to aggressive antihypertensive therapy
(3) evidence of arterial sclerosis
(4) normal intra-arterial blood pressure
(1) positive Osler maneuver (determined by palpation of the radial or brachial arterial pulse)
(2) increased difference in blood pressure between the two arms
A patient with pseudohypertension may receive unnecessary antihypertensive therapy which can result in complications such as falls from orthostatic hypotension.
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Purpose: To evaluate a patient for pseudohypertension associated with diffuse hardening of the arteries.
Objective: differential diagnosis and mimics, red flags