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

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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

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Dr.Barry Effron
(216) 844-8500
3909 Orange Place #1100
Beachwood, OH
Gender
M
Education
Medical School: Oh State Univ Coll Of Med
Year of Graduation: 1978
Speciality
Cardiologist
General Information
Accepting New Patients: Yes
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3.2, out of 5 based on 2, reviews.

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Joram Glaser, MD
Beachwood, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: The Hebrew Univ, Hadassah Med Sch, Jerusalem, Israel
Graduation Year: 1962

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

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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

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John David Burkhardt, MD
(216) 445-0409
2529 Warwick Rd
Cleveland, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1996

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Carlos Hubbard, MD
3726 Tolland Rd
Beachwood, OH
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

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Oussama M Wazni, MD
(216) 444-2200
22200 Westchester Rd
Beachwood, OH
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

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Joseph Askenazi, MD, FACC
(216) 295-5655
3387 Norwood Rd
Beachwood, OH
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

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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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