Blood Pressure Specialist Florence SC

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.

James Louis Dedonis, MD
(843) 629-8084
1706 2nd Loop Rd
Florence, SC
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1976

Data Provided by:
Llewellyn A Rowe
(843) 629-8084
1706 2nd Loop Rd
Florence, SC
Specialty
Cardiology

Data Provided by:
Vitt P Leng, MD
(843) 629-8084
1818 Osprey Dr
Florence, SC
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Mahidol Univ-Siriraj Hosp, Fac Of Med, Bangkok, Thailand
Graduation Year: 1971

Data Provided by:
Ian Smith
(843) 629-8084
1706 2nd Loop Rd
Florence, SC
Specialty
Cardiology

Data Provided by:
Thomas Leroy Stoughton, MD
(843) 667-1891
1809 Highland Ave
Florence, SC
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1983

Data Provided by:
David Paul Bottomy, MD
(843) 629-8040
1706 2nd Loop Rd
Florence, SC
Specialties
Cardiology
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1971

Data Provided by:
David Paul Bottomy
(843) 629-8084
1706 2nd Loop Rd
Florence, SC
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Llewellyn Alexander Rowe, MD
(843) 629-8084
PO Box 13356
Florence, SC
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1988

Data Provided by:
Ian Douglas Smith, MD
(843) 629-8084
2324 Windsor Forest Dr
Florence, SC
Specialties
Cardiology
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1978

Data Provided by:
James Louis Dedonis
(843) 629-8084
1706 2nd Loop Rd
Florence, SC
Specialty
Internal Medicine, Cardiovascular Disease

Data Provided by:
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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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