Blood Pressure Specialist Salisbury NC

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.

Khalid Altaf Mian
(704) 638-9000
1601 Brenner Ave
Salisbury, NC
Specialty
Internal Medicine, Cardiovascular Disease

Data Provided by:
Dennis Nf Wilson
(704) 633-9620
911 W Henderson St
Salisbury, NC
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Robert B Fazia
(704) 633-9620
911 W Henderson St
Salisbury, NC
Specialty
Cardiology

Data Provided by:
Dennis Norman F Wilson, MD
(704) 633-9620
139 Polo Dr
Salisbury, NC
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1986

Data Provided by:
Robert Brian Fazia, MD
(704) 633-9620
135 Polo Dr
Salisbury, NC
Specialties
Cardiology
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1989
Hospital
Hospital: Rowan Reg Med Ctr, Salisbury, Nc; Presbyterian Hospital, Charlotte, Nc
Group Practice: Mid Carolina Cardiology Pa; Mid Carolina Cardiology Pa

Data Provided by:
Michelle Alanea Webb
(704) 638-9000
1601 Brenner Ave
Salisbury, NC
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Sharon Dillingham Martin
(704) 638-9000
1601 Brenner Ave
Salisbury, NC
Specialty
Cardiology

Data Provided by:
Anthony Wall Bracken
(704) 642-1041
327 Mocksville Ave
Salisbury, NC
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Dr.Cyril Abrams
(828) 684-2243
911 West Henderson Street
Salisbury, NC
Gender
M
Education
Medical School: Temple Univ Sch Of Med
Year of Graduation: 1979
Speciality
Cardiologist
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided by:
Sharon Dillingham Martin, MD
(352) 726-8353
215 Sowers Ferry Rd
Salisbury, NC
Specialties
Cardiology, Internal Medicine
Gender
Female
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1977
Hospital
Hospital: Citrus Mem Hosp, Inverness, Fl
Group Practice: Citrus Cardiology Consultants

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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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