Blood Pressure Specialist Lebanon OH

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.

Mark E Krebs, MD
(937) 223-4461
122 Wyoming St
Dayton, OH
Business
Miami Valley Cardiologists Inc
Specialties
Cardiology

Data Provided by:
David Brewer Stultz, MD
937-278-6251 x3311
25 Arbor Hills Dr
Springboro, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 2000

Data Provided by:
James Maxwell Feldman, MD
(937) 748-2122
160 W Waterbury Dr
Springboro, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1999

Data Provided by:
Syed Nasim Ahmed, MD
(513) 558-3070
5882 W Fountain Cir
Mason, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Aga Khan Med Coll, Aga Khan Univ, Karachi, Pakistan
Graduation Year: 1996

Data Provided by:
Mohammad Atiq Khalid, MD
(414) 219-6000
4984 Village Green Dr
Mason, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Allama Iqbal Med Coll, Univ Of Punjab, Lahore, Pakistan
Graduation Year: 1986

Data Provided by:
Gary Jon Butchko, MD
(937) 257-6991
105 Cold Springs Ct
Springboro, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1996

Data Provided by:
Anthony J Pothoulakis, MD
(513) 748-8572
8586 Eagle Ridge Court
Springboro, OH
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Univ Athens, Fac Med, Sch Of Hlth Sci, Nat'L & Kapodistrian, Athens
Graduation Year: 1984

Data Provided by:
Brooks Bryson Gerlinger, MD
(513) 745-9800
8679 Hampton Bay Pl
Mason, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Med Coll Of Ohio, Toledo Oh 43699
Graduation Year: 1991

Data Provided by:
Stephen R Marcello, MD
(513) 622-5045
8700 Mason Montgomery Rd MS 2165
Mason, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1980

Data Provided by:
Alvaro Danl Waissbluth, MD
(513) 494-2840
964 Falcon Pt
Maineville, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1992

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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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