Blood pressure substantially higher in arms than legs 2019-07-05T17:56:44Z This feature can be observed in aortic coarctation. Increased arm-leg blood pressure gradient Blood pressure substantially higher in upper than lower extremities An abnormal blood pressure discrepancy between the upper and lower extremities with the blood pressure measured in the arms being much higher than the blood pressure measure in the legs. In healthy individuals, ankle systolic blood pressures are only slightly higher than the systolic blood pressure measured in the arm. Abnormal systemic blood pressure