Blood Pressure Specialist Redford MI

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.

Kris Warszawski MD
(734) 522-9800
2011 Middlebelt Rd
Garden City, MI
Specialties
Cardiology

Data Provided by:
Syed A Mahmood, MD
(248) 357-1360
22341 W 8 Mile Rd Ste 121
Detroit, MI
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduation Year: 1986
Hospital
Hospital: Oakwood Hospital, Dearborn, Mi; Oakwood Hospital -Annapolis C, Wayne, Mi; Harper Hospital, Detroit, Mi; Sinai Grace Hosp, Detroit, Mi
Group Practice: Cardiovascular Associates Pc

Data Provided by:
Berton Lee London, MD
(248) 357-1360
27177 Lahser Rd Ste 103
Southfield, MI
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1954

Data Provided by:
Syed Abid Mahmood
(248) 357-1360
27177 Lahser Rd
Southfield, MI
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Vijay Goburdhun
(734) 462-4000
14555 Levan Rd
Livonia, MI
Specialty
Cardiology

Data Provided by:
Christopher B Schooley
(313) 387-1047
19460 Grand River Ave
Detroit, MI
Specialty
Cardiovascular Disease

Data Provided by:
Edward Malinowski, MD
(313) 592-3544
26699 W 12 Mile Rd
Southfield, MI
Specialties
Cardiology
Gender
Male
Education
Medical School: Akademia Med W Warszawie, Warszawa, Poland
Graduation Year: 1963

Data Provided by:
Andrew J Borin
(734) 464-4260
37799 Professional Center Dr
Livonia, MI
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Syamasundera B Zampani, MD
(313) 462-3233
14555 Levan Rd Ste 203
Livonia, MI
Specialties
Cardiology
Gender
Male
Education
Medical School: Guntur Med Coll, Univ Of Hlth Sci, Guntur, Ap, India
Graduation Year: 1973

Data Provided by:
Mohammad Imran Qureshi
(248) 799-2600
29877 Telegraph Rd
Southfield, MI
Specialty
Cardiovascular Disease

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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