Blood Pressure Specialist Kapaa HI

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.

Eugene Paul Shafton, MD
(415) 476-6388
5875 Waipouli Rd
Kapaa, HI
Specialties
Cardiology
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1965

Data Provided by:
John T Funai
(808) 245-1548
3-3420 Kuhio Hwy
Lihue, HI
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Paul Chungming Ho, MD
(808) 432-8389
3288 Monanalua Road
Honolulu, HI
Specialties
Cardiology
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1992

Data Provided by:
Venudhar Damidi Reddy, MD
(808) 537-2211
1319 Punahou St Ste 1160
Honolulu, HI
Specialties
Cardiology
Gender
Male
Education
Medical School: Osmania Med Coll, Univ Hlth Sci, Vijayawada, Hyderabad, Ap, India
Graduation Year: 1957

Data Provided by:
John T Funai, MD
3 3420 Kuhio Highway Suite B
Lihue, HI
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Hi John A Burns Sch Of Med, Honolulu Hi 96822
Graduation Year: 1978

Data Provided by:
John T Funai, MD
3 3420 Kuhio Highway Suite B
Lihue, HI
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Hi John A Burns Sch Of Med, Honolulu Hi 96822
Graduation Year: 1978

Data Provided by:
Cyril Y Leung, MD, FACC
PO Box 240218
Honolulu, HI
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Lee Guertler
(808) 232-6739
1301 Punchbowl St
Honolulu, HI
Specialty
Cardiology

Data Provided by:
David J g Fergusson
(808) 531-3588
820 Mililani St
Honolulu, HI
Specialty
Cardiovascular Disease

Data Provided by:
Vincent U Yap
(808) 432-0000
3288 Moanalua Rd
Honolulu, HI
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

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

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