Blood Pressure Specialist Roma TX

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.

Charles Roeth, MD
(210) 615-1366
4330 Medical Dr
San Antonio, TX
Business
William Craig MD
Specialties
Cardiology

Data Provided by:
Ilyas K Colombowala, MD
(713) 592-5786
2618 Talbott St
Houston, TX
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Mohamed O Jeroudi
(713) 475-5940
4102 Woodlawn Ave
Pasadena, TX
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
John Lars Durand, MD
(817) 252-5051
1300 W Terrell Ave Ste 500
Fort Worth, TX
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1977
Hospital
Hospital: Harris Methodist-Fort Worth, Fort Worth, Tx; All Saints Hosp -Cityview, Fort Worth, Tx
Group Practice: Consultants IN Cardiology

Data Provided by:
Jason Blair Wischmeyer, MD
(214) 841-2000
411 N Washington Ave Ste 2200
Dallas, TX
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduation Year: 1992

Data Provided by:
Troy Howard Williams, MD
(817) 724-2713
2401 S 31st St
Temple, TX
Specialties
Cardiology
Gender
Male
Languages
Spanish
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1964
Hospital
Hospital: Scott & White Santa Fe Center, Temple, Tx
Group Practice: Scott & White Clinic

Data Provided by:
Michael C Tobes, MD
(903) 595-2283
1212 S Palestine St
Athens, TX
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Miami Sch Of Med, Miami Fl 33101
Graduation Year: 1990

Data Provided by:
Richard David Fish, MD
(713) 791-9400
6624 Fannin St Ste 2220
Houston, TX
Specialties
Cardiology, Internal Medicine
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1982
Hospital
Hospital: St Lukes Episcopal Hospital, Houston, Tx; West Houston Med Ctr, Houston, Tx
Group Practice: Southwest Cardiovascular Consultants

Data Provided by:
Steven L Meyer, MD
(214) 361-3300
8440 Walnut Hill Ln
Dallas, TX
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Pretoria, Fac Of Med, Pretoria, So Africa
Graduation Year: 1970

Data Provided by:
Navaneeta K Gorrepati, MD
2700 W Pleasant Run Rd
Lancaster, TX
Specialties
Cardiology
Gender
Male
Education
Medical School: Rangaraya Med Coll, Univ Hlth Sci, Vijayawada, Kakinada, Ap, India
Graduation Year: 1976

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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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