Blood Pressure Specialist Reedley CA

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.

Curtis L Davis, MD
(559) 638-3365
4400 Avenue 428
Reedley, CA
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1978

Data Provided by:
Won-Jong Sull, MD
(870) 523-6412
1311 11th St
Reedley, CA
Gender
Male
Education
Medical School: Seoul Natl Univ, Coll Of Med, Chongno-Ku, Seoul, So Korea
Graduation Year: 1966

Data Provided by:
Ralph Joseph Wessel, MD
(559) 459-4395
5451 E Heaton Ave
Fresno, CA
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1970

Data Provided by:
Amir Sanati, MD
(559) 459-4000
445 S Cedar Ave
Fresno, CA
Specialties
Cardiology
Gender
Male
Education
Medical School: Shahid Beheshti Univ, Fac Med, Teheran, Iran
Graduation Year: 1984

Data Provided by:
Son Van Pham, MD
(818) 891-7711
Univ Medicine Center 445 South Cedar Avenue
Fresno, CA
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1989

Data Provided by:
Francisco Garcia Garcia, MD
(210) 227-2312
806 E Lingo Ave Apt 222
Reedley, CA
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Auto De Nuevo Leon, Fac De Med, Monterrey, Nuevo Leon, Mexico
Graduation Year: 1967

Data Provided by:
Jaishree Rajagopalan
(559) 896-2624
2511 Logan St
Selma, CA
Specialty
Internal Medicine, Cardiovascular Disease

Data Provided by:
Mohamed Kerala Serio, MD
(831) 655-1985
445 S Cedar Ave
Fresno, CA
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Aleppo, Fac Of Med, Aleppo, Syria
Graduation Year: 1984

Data Provided by:
John Anthony Ambrose, MD
(212) 604-6420
445 S Cedar Ave
Fresno, CA
Specialties
Cardiology
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1972

Data Provided by:
Gisela C Okonski, MD
(530) 244-3278
1355 East St
Redding, CA
Business
Northern Heart & Vascular
Specialties
Cardiology

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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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