[NP-Clinical] Significant limb BP variance

[debcfnp at aol.com]

You took the diagnosis right out of my brain.  This is what I was thinking of too.  In my last practice, the physician I was working with found this in a patient.  I don't recall the outcome however.
Deb 
 
-----Original Message-----
From: pmunz at optonline.net
To: np-clinical at nurse.net
Sent: Wed, 14 Feb 2007 9:18 PM
Subject: RE: [NP-Clinical] Significant limb BP variance


I believe this is a symptom of subclavian steal syndrome..don’t have time to look it up (sorry)
 
Pat Munz
 
-----Original Message-----
From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net] On Behalf Of Priscilla Merrill
Sent: Wednesday, February 14, 2007 5:56 PM
To: 'NP Clinical'; acc-circle at listserve.com
Subject: [NP-Clinical] Significant limb BP variance
 
Does anyone recall or know the management when BP is markedly different between limbs?
I googled this and searched several sites and could find nothing.
I have a woman pt in her early 60’s.  Previous fx R arm long ago.  Her BP on 5 occasions (had her come in for consecutive checks) had BP in left arm in high 140’s over high 80’s while her right was consistently 120’s to low 130’s over 70’s.
I changed her from her long-term HCTZ to a combo w/ 10 mg lisinopril but curious as to your advice on why it would be so different.  Normal lipids and otherwise very healthy, no prior cardiac events or health issues.  Another newly inherited pt.
Thanks,
Priscilla Merrill FNP
 
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