Blood Pressure Specialist Berkley MI

Not so long ago, you either had high blood pressure or you didn’t. Your blood pressure could even flirt with the high normal range without anyone getting overly worked up about it. The same held true for elevated-but'still-normal blood sugar levels.

Kris Warszawski MD
(734) 522-9800
2011 Middlebelt Rd
Garden City, MI
Specialties
Cardiology

Data Provided by:
Andrew Max Hauser, MD
(248) 545-0070
27901 Woodward Ave Ste 300
Berkley, MI
Specialties
Cardiology, Emergency Medicine
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1972
Hospital
Hospital: William Beaumont Hospital -Ro, Royal Oak, Mi
Group Practice: Cardiology Assoc Pc

Data Provided by:
Amr El-Sayed Abbas, MD
27901 Woodward Ave
Berkley, MI
Specialties
Cardiology
Gender
Male
Education
Medical School: Ain Shams Univ, Fac Of Med, Abbasia, Cairo, Egypt (330-04 Pr 1/71)
Graduation Year: 1993

Data Provided by:
Kim Ching Man
(248) 545-0070
27901 Woodward Ave
Berkley, MI
Specialty
Cardiology

Data Provided by:
Douglas Cook Westveer, MD
(248) 545-0070
27901 Woodward Ave Ste 300
Berkley, MI
Specialties
Cardiology
Gender
Male
Education
Medical School: Mi State Univ Coll Of Human Med, East Lansing Mi 48824
Graduation Year: 1975

Data Provided by:
Joseph Naoum, MD
(586) 465-1326
133 S Main St
Mount Clemens, MI
Business
Internal Medicine Associates
Specialties
Cardiology

Data Provided by:
Nishit Arvind Choksi
(248) 582-1480
1695 W 12 Mile Rd
Berkley, MI
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Aaron Berman
(248) 545-0070
27901 Woodward Ave
Berkley, MI
Specialty
Cardiology, Internal Medicine

Data Provided by:
Maher Rabah
(248) 545-0070
27901 Woodward Ave
Berkley, MI
Specialty
Cardiology

Data Provided by:
Douglas Westveer
(248) 545-0070
27901 Woodward Ave
Berkley, MI
Specialty
Cardiology

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Blood Pressure Concerns

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By James Keough

Not so long ago, you either had high blood pressure or you didn’t. Your blood pressure could even flirt with the high normal range without anyone getting overly worked up about it. The same held true for elevated-but-still-normal blood sugar levels. But all that changed over a 10-year period as the medical profession established new benchmarks and reclassified the old “normal” as “preconditions.”

For blood pressure, that happened in 2003. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-7) set guidelines for pre-hypertension by defining normal blood pressure as less than 120/80 and setting the optimal level at 115/75. That same year, the term pre-diabetes gained new meaning and considerable traction when then-Health Secretary Tommy Thompson used it to warn Americans of their high risk of developing diabetes. Ten years earlier a committee hosted by the World Health Organization had established bone mineral density readings as the new measure for osteoporosis and at the same time created a new precursor called osteopenia.

At first blush, the concept of preconditions makes perfect sense. If you have a disease like diabetes, then ipso facto, at some point prior to your diagnosis your blood sugar levels became pre-diabetic—not in the sense of “before” diabetes, but rather as in “leading up to” the disease. And theoretically, once you learned that, you and your doctor could take action to make those levels normal again and thus prevent the onset of the disease. And in an ideal—and perhaps less complicated—world that’s what would happen.

The value of a precondition
When asked about the value of reclassifying “high-normal blood pressure” as pre-hypertension, a doctor joked that previously the only thing his patients heard when he used the old term was “Hi, your blood pressure is normal.” For him—and for a good deal of the medical profession—the new precondition underscores the seriousness of the situation for patients. How bad is it? Studies show that compared to people who have normal blood pressure, those with pre-hypertension (120/80 to 139/89) have three and a half times the risk of heart attack and more than one and a half times the risk of coronary artery disease. Other studies have shown that starting at the new optimal level (115/75), the risk of heart attack doubles with each 20-point increase in systolic blood pressure (the top number) or 10-point increase in diastolic blood pressure (the bottom number). Pre-hypertensives also face a vastly increased risk of developing high blood pressure. The Framingham Heart Study found that within four years of baseline testing, 39 to 53 percent of people with high-normal blood pressure (the top half of the current pre-hypertension range) progressed to stage 1 hypertension.

These are not good odds—and they get worse the older you are when first diagnosed with pre-hypertension and the longer you ...

Author: James Keough

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