Blood Pressure Specialist Maple Heights 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.

Wael Khoury, MD
(216) 475-5370
12000 McCracken Rd
Cleveland, OH
Business
Cardiology Associates Of Cleveland
Specialties
Cardiology

Data Provided by:
James Allen Benes, MD
(216) 383-8500
22750 Rockside Rd
Bedford, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1976

Data Provided by:
Quan Pham, MD
(216) 778-2130
3710 Polland Road
Beachwood, OH
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Suzanne Alise Sorof, MD
(216) 778-2130
3639 Latimore Rd
Shaker Heights, OH
Specialties
Cardiology
Gender
Female
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1998

Data Provided by:
Eileen Hsich, MD
(617) 636-5112
2709 Belvoir Blvd
Beachwood, OH
Specialties
Cardiology
Gender
Female
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1994

Data Provided by:
David Paul Hedrick, MD
747 Lincoln Blvd
Bedford, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1999

Data Provided by:
Michael Kalus
(216) 921-1600
4200 Warrensville Center Rd
Warrensville Hts., OH
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Christine Tanaka-Esposiro, MD
3665 Avondale Rd
Beachwood, OH
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Peter Borek, MD
2515 Kemper Rd Apt 510
Cleveland, OH
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Allan Harvey Harris, MD
(216) 491-8141
4200 Warrensville #420
Beachwood, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Miami Sch Of Med, Miami Fl 33101
Graduation Year: 1959

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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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