Blood Pressure Specialist Clinton 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.

Richard Kutnick MD
(212) 879-2628
898 Park Ave
New York, NC
Specialties
Cardiology

Data Provided by:
Lukas Jantac, MD
(919) 929-3446
102 Cabernet Dr
Chapel Hill, NC
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Douglas Craig Privette
(252) 758-3211
850 W H Smith Blvd
Greenville, NC
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Michael Cuffe
(919) 620-4467
Duke University Medical Ctr
Durham, NC
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Joseph Gordon Rogers, MD
(919) 681-3398
Box 3034,
Durham, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1988

Data Provided by:
Sidney C Smith Jr., MD
(919) 966-5201
130 Mason Farm Rd
Chapel Hill, NC
Business
UNC Cardiology
Specialties
Cardiology

Data Provided by:
William Mauney Herndon Jr, MD
(704) 373-0212
1001 Blythe Blvd Ste 300
Charlotte, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1981

Data Provided by:
Charles W Harris
(336) 765-2500
150 Charlois Blvd
Winston Salem, NC
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
John Mark Englehardt, MD
(919) 781-7772
3324 Six Forks Rd
Raleigh, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1985

Data Provided by:
Thomas E Fitz, MD, FACC
2133 9th St NW
Hickory, NC
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Data Provided by:

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

Copyright 1999-2009 Natural Solutions: Vibrant Health, Balanced Living/Alternative Medicine/InnoVisi...