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, 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:
Christopher B Mahnke, MD
(808) 780-8835
1 Jarrett White Rd
Tripler Army Medical Ctr, HI
Specialties
Cardiology
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1996

Data Provided by:
Marc Edward Hunt, MD
(808) 551-2122
46-295 Ikiiki St
Kaneohe, HI
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1996

Data Provided by:
John C Chen
(808) 432-0000
3288 Moanalua Rd
Honolulu, HI
Specialty
Thoracic Surgery, Vascular Surgery, Cardiac Surgery

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

Data Provided by:
Derek Kwock-heen Pang
(808) 523-1343
2228 Liliha Street Suite 401
Honolulu, HI
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Jeffrey Paul Stewart, MD
(206) 232-1064
Kihei, HI
Specialties
Cardiology
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1994

Data Provided by:
Michael Y.t. Yee
(808) 261-0765
642 Ulukahiki St
Kailua, HI
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Michael Wayne Chan
(808) 486-6116
98-1079 Moanalua Rd
Aiea, HI
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
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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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