Blood Pressure Specialist Mechanicsville VA

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.

Dean Emerson Caven, MD
(804) 559-0405
8220 Meadowbridge Rd Ste 310
Mechanicsville, VA
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1995

Data Provided by:
Timothy Wayne Hagemann, MD
(804) 559-0405
8220 Meadowbridge Rd Ste 310
Mechanicsville, VA
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1983

Data Provided by:
Stanley C Tucker
(804) 559-9902
8266 Atlee Rd
Mechanicsville, VA
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Timothy Wayne Hagemann
(804) 559-0405
8220 Meadowbridge Rd
Mechanicsville, VA
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Sameer Rohatgi
(804) 559-0405
8220 Meadowbridge Rd
Mechanicsville, VA
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Brian Leonard Kaminsky
(804) 730-1481
8243 Meadowbridge Rd
Mechanicsville, VA
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Archer Lewis Baskerville
(804) 730-1481
8243 Meadowbridge Rd
Mechanicsville, VA
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Brian Kendall Holdaway
(804) 559-0405
8220 Meadowbridge Rd
Mechanicsville, VA
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Michael John Ball, MD
(804) 559-0405
8220 Meadowbridge Rd Ste 310
Mechanicsville, VA
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203
Graduation Year: 1976

Data Provided by:
Michael Joseph Wittkamp
(804) 730-1481
8243 Meadowbridge Road
Mechanicsville, VA
Specialty
Cardiovascular Disease

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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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