Blood Pressure Specialist Germantown MD

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.

Barton Jerome Gershen, MD
(301) 721-9394
15120 Plainfield Ln
Germantown, MD
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1957

Data Provided by:
Sameer Sofat, MD
(301) 670-3000
Gaithersburg, MD
Specialties
Cardiology
Gender
Male
Education
Medical School: Indira Gandhi Med Coll, Himachal Pradesh Univ, Shimla, Hp, India
Graduation Year: 1990

Data Provided by:
James Andrew Storey, MD
(301) 295-4500
11313 Dunleith Pl
Gaithersburg, MD
Specialties
Cardiology
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1993

Data Provided by:
Sung W Lee
(301) 990-0040
15215 Shady Grove Rd
Rockville, MD
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
David M Brill
(301) 990-0040
15215 Shady Grove Rd
Rockville, MD
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
William Walter Tullner, MD
(301) 816-9000
16220 S Frederick Ave Ste 500
Gaithersburg, MD
Specialties
Cardiology
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1979

Data Provided by:
Hitesh Patel, MD
17811 Stoneridge Dr
Gaithersburg, MD
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Attan Lal Kasid, MD
(301) 840-0833
17519 Redland Rd
Derwood, MD
Specialties
Cardiology
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1996

Data Provided by:
Michael Sung-chieh Chen
(301) 670-3000
15225 Shady Grove Rd
Rockville, MD
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Dr.Joann Urquhart
(301) 762-4202
9711 Medical Center Dr # 300
Rockville, MD
Gender
F
Education
Medical School: Mt Sinai Sch Of Med Of The City Univ Of Ny
Year of Graduation: 1975
Speciality
Cardiologist
General Information
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 1, reviews.

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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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