Set . Symmetry of gives , soThe requested upper confidence bound is thereforeThere is a direction inconsistency in connecting this particular interval to the stated treatment alternative. Since is before minus after, a blood-pressure reduction means . An upper interval excludes the null value zero only when , which instead supports .
For the requested reduction alternative, use the lower 95% intervalIt excludes zero in the appropriate direction exactly whenThis is the correct level-5% paired one-sided test of no mean change against a reduction. The requested upper bound is valid as a confidence statement, but its ordinary exclusion-of-zero test has the opposite direction.
The sign follows the duality between confidence intervals and hypothesis tests for the paired t-test.
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