Blood Pressure Specialist Murray KY

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.

William A Holman, MD
(270) 753-3022
300 S 8th St Ste 505E
Murray, KY
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1967

Data Provided by:
Roshan Korah Mathew, MD
(732) 615-3900
815 E Parrish Ave
Owensboro, KY
Specialties
Cardiology
Gender
Male
Education
Medical School: Kasturba Med Coll, Mysore Univ, Mangalore, Karnataka, India
Graduation Year: 1993

Data Provided by:
Jamie Jay Jacobs, MD
(859) 221-9163
1347 Strawberry Ln
Lexington, KY
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1965
Hospital
Hospital: Central Baptist Hosp, Lexington, Ky; St Joseph Hosp, Lexington, Ky; University Of Kentucky Hosp, Lexington, Ky
Group Practice: Cardiology Assoc Of Lexington

Data Provided by:
Frederick William Arensman, MD
(502) 454-7107
943 S 1st St
Louisville, KY
Specialties
Cardiology
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1975

Data Provided by:
Bibhuti Das
(502) 585-4802
601 S Floyd St
Louisville, KY
Specialty
Pediatric Cardiology

Data Provided by:
Kwabena Osei Agyeman, MD
(270) 753-8022
Murray, KY
Specialties
Cardiology
Gender
Male
Education
Medical School: Eastern Va Med Sch Of The Med Coll Of Hampton Roads, Norfolk Va 23501
Graduation Year: 1991

Data Provided by:
Anil Kumar Sharma
(502) 589-7907
250 E Liberty St
Louisville, KY
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Zane A Darnell
(606) 324-4745
613 23rd St
Ashland, KY
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
John Davison Rhodes
(270) 765-5921
916 Woodland Dr
Elizabethtown, KY
Specialty
Cardiology

Data Provided by:
Allan H Rees, MD, FACC
(502) 852-4359
3705 Gaston Ct
Louisville, KY
Specialties
Cardiology, Pediatrics
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
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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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