Blood Pressure Specialist Little Rock AR

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.

Marino Leonardi
(501) 603-1267
4301 W Markham St # 532
Little Rock, AR
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Behzad Molavi
(501) 686-8000
4301 W Markham St # 783
Little Rock, AR
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Scott L Beau, MD
(501) 219-2328
St Vincent's Cir #5th Flr #5
Little Rock, AR
Specialties
Cardiology
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1987

Data Provided by:
David Eugene Smith, MD
(501) 255-6000
10100 Kanis Rd
Little Rock, AR
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1971
Hospital
Hospital: Baptist Rehab Institute, Little Rock, Ar; Baptist Med Ctr, Little Rock, Ar
Group Practice: Arkansas Heart

Data Provided by:
James E Shuffield Jr, MD
(501) 255-6000
10100 Kanis Rd
Little Rock, AR
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1985

Data Provided by:
Eleanor Ennis Kennedy, MD
(501) 255-6090
10100 Kanis Rd
Little Rock, AR
Specialties
Cardiology
Gender
Female
Education
Medical School: Emory Univ Sch Of Med, Atlanta Ga 30322
Graduation Year: 1979
Hospital
Hospital: Baptist Mem Med Ctr, N Little Rock, Ar
Group Practice: Heart Clinic Arkansas

Data Provided by:
Ben D Johnson
(501) 664-9535
500 S University
Little Rock, AR
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Rishi Sukhija, MD
(501) 686-6051
3802 Kavanaugh Blvd Apt 712
Little Rock, AR
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Mark Anthony St Pierre, MD
4120 W Markham St
Little Rock, AR
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1992

Data Provided by:
Dr.Van De Bruyn
(501) 255-6000
10100 Kanis Road
Little Rock, AR
Gender
M
Education
Medical School: Univ Of Ia Coll Of Med
Year of Graduation: 1990
Speciality
Cardiologist
General Information
Hospital: Barnes Jewish Hosp, Saint Louis, Mo
Accepting New Patients: Yes
RateMD Rating
5.0, 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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