Blood Pressure Specialist Clayton NC

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.

Kenneth Stan Friedman, MD
(919) 787-5380
555 Medical Park Pl Ste 201
Clayton, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1979

Data Provided by:
Kenneth S Friedman
(919) 359-8040
11618 Us Highway 70 W
Clayton, NC
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Craig Steven Carter, MD
(919) 938-4002
712 Wilkins St Ste E
Smithfield, NC
Gender
Male
Languages
Spanish
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1981
Hospital
Hospital: Episcopal Hosp, Philadelphia, Pa; Northeastern Hospital Of Phila, Philadelphia, Pa; Mercy Hosp Of Philadelphia, Philadelphia, Pa
Group Practice: Thoracic & Cardiovascular Surg

Data Provided by:
Eric Michael Janis, MD
(919) 989-7909
423 N 7th St
Smithfield, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1989

Data Provided by:
Charles Angelo Mangano Jr, MD
(919) 231-6132
3000 New Bern Ave Ste 1200
Raleigh, NC
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1974
Hospital
Hospital: Wake Med Ctr, Raleigh, Nc; Good Hope Hospital, Erwin, Nc
Group Practice: Raleigh Cardiology Assoc

Data Provided by:
Benjamin Granger Atkeson
(919) 359-0322
555 Medical Park Pl
Clayton, NC
Specialty
Cardiology, Internal Medicine, Emergency Medicine

Data Provided by:
Benjamin Atkeson, MD, FACC
(919) 359-0322
148 Townsend Dr
Clayton, NC
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Franklin Charles Wefald, MD
(919) 989-7909
423 N 7th St
Smithfield, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1985

Data Provided by:
Timothy Wm Anderson, MD
(713) 951-9933
1201 N Brightleaf Blvd
Smithfield, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1974

Data Provided by:
Robert Merrill Hunter
(919) 231-6333
3000 New Bern Ave
Raleigh, NC
Specialty
Thoracic Surgery, Vascular Surgery, Cardiac Surgery

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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