Blood Pressure Specialist Hermiston OR

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.

Mary Athena Warner, MD
(207) 941-8300
Hermiston, OR
Specialties
Cardiology
Gender
Female
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1979

Data Provided by:
Robert Joseph Litt, MD
(503) 494-8750
2202 NE 13th Ave
Portland, OR
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Chicago, Pritzker Sch Of Med, Chicago Il 60637
Graduation Year: 1999

Data Provided by:
Frank Geoffrey Marx
(541) 883-3521
2614 Clover St
Klamath Falls, OR
Specialty
Cardiology, Internal Medicine

Data Provided by:
Michael Allen Wilson, MD
(503) 297-6234
9427 SW Barnes Rd Ste 498
Portland, OR
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1981

Data Provided by:
James Ernest Devorss, MD
(503) 362-4146
1050 Oak St SE Ste 8
Salem, OR
Specialties
Cardiology
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1966

Data Provided by:
Sandeep Garg, MD
(503) 692-0405
19260 SW 65th Ave
Tualatin, OR
Business
Pacific Heart Associates PC
Specialties
Cardiology

Data Provided by:
Phillip Kwok-Hay Au, MD
(503) 216-2096
West Pavilion Ste 200 9205 S W Barnes Rd
Portland, OR
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med, Los Angeles Ca 90024
Graduation Year: 1979

Data Provided by:
Matthew Simon Slater
(503) 494-7820
3181 Sw Sam Jackson Park Rd
Portland, OR
Specialty
Thoracic Surgery, Vascular Surgery, Cardiac Surgery

Data Provided by:
Ashkan Babaie
(503) 963-3030
1111 Ne 99th Ave
Portland, OR
Specialty
Internal Medicine, Cardiovascular Disease

Data Provided by:
Bradley Earl Personius, MD
(541) 472-7800
195 Serenity Ln
Grants Pass, OR
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1984
Hospital
Hospital: Rogue Valley Med Ctr, Medford, Or; Three Rivers Community Hospita, Grants Pass, Or; Three Rivers Community Hospita, Grants Pass, Or
Group Practice: Cardiology Consultants

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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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