Blood Pressure Specialist Carmel IN

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.

Rama Dakshinamurthy, MD
(765) 298-4425
Carmel, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: Mysore Med Coll, Mysore Univ, Mysore, Karnataka, India
Graduation Year: 1985
Hospital
Hospital: St Vincent Mercy Hosp, Elwood, In
Group Practice: Indiana Heart Associates Pc

Data Provided by:
Bernard J Hynes, MD
(317) 851-9092
13793 Foxdale Lake Dr
Carmel, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284
Graduation Year: 1997

Data Provided by:
Peter S E Nechay, MD
(765) 454-0200
416 Sapphire Dr
Carmel, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduation Year: 1992

Data Provided by:
Jason Scott Finkelstein, MD
(504) 598-4578
358 Longwood St
Carmel, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: St George'S Univ, Sch Of Med, St George'S, Grenada
Graduation Year: 1999

Data Provided by:
Anantharam Kalya, MD
(317) 733-2220
3364 Kilkenny Cir
Carmel, IN
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Ramarao Yeleti, MD
(317) 887-7880
13111 Franklin Hall Trl
Carmel, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: Northeastern Oh Univs Coll Of Med, Rootstown Oh 44272
Graduation Year: 1991
Hospital
Hospital: Comm Hosp-Indiana, Indianapolis, In; Westview Hosp, Indianapolis, In
Group Practice: Indiana Heart Associates Pc

Data Provided by:
Richard I Fogel, MD
(317) 583-6510
10776 Onyx Dr
Carmel, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: Brown Univ Program In Med, Providence Ri 02912
Graduation Year: 1986

Data Provided by:
Walter W Jolly, MD, FACC
(317) 574-0884
10101 Ditch Rd
Carmel, IN
Specialties
Cardiology, Vascular Surgery, Thoracic Surgery
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
August Masaru Watanabe, MD
(317) 571-0772
10666 Winterwood
Carmel, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1967

Data Provided by:
Patrick D V Bourdillon, MD
(317) 962-0096
12227 Redgold Run
Carmel, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: Oxford Univ Med Sch, Oxford, Uk (352-09 Pr 1/71)
Graduation Year: 1971

Data Provided by:
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Blood Pressure Concerns

Provided by: 

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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