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

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Charles T Smith
(361) 884-5402
1001 Louisiana Ave
Corpus Christi, TX
Specialty
Cardiology, Cardiovascular Disease

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Dr.Gerardo Kalife
(713) 529-5530
6624 Fannin St # 1800
Houston, TX
Gender
M
Speciality
Cardiologist
General Information
Hospital: St. LukeS Episcopal
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

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Byron Dudley Holt
(512) 320-8388
900 E 30th St Ste 311
Austin, TX
Specialty
Pediatric Cardiology

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Garrett L Walsh
(713) 792-6161
1515 Holcombe Blvd
Houston, TX
Specialty
Thoracic Surgery, Vascular Surgery, Cardiac Surgery

Data Provided by:
Angela Tseng, MD
(972) 548-5410
PO Box 886
McKinney, TX
Specialties
Cardiology
Gender
Female
Education
Medical School: Univ De San Carlos, Fac De Cien Med, Guatemala
Graduation Year: 1979

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Ravindra Edupuganti
(972) 475-7500
7801 Lakeview Pkwy
Rowlett, TX
Specialty
Cardiology, Cardiovascular Disease

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Robert Stoler
(214) 826-5000
621 N Hall St
Dallas, TX
Specialty
Cardiology, Cardiovascular Disease

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Azam Anwar, MD
(214) 841-2000
4331 Arcady Ave
Dallas, TX
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Mo-Kansas City Sch Of Med, Kansas City Mo 64108
Graduation Year: 1983

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Michael B Cannon
(903) 614-5600
2604 Saint Michael Dr
Texarkana, TX
Specialty
Thoracic Surgery, Vascular Surgery, Cardiac Surgery

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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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