Blood Pressure Specialist San Mateo 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.

Bruce A Benedick, MD
(650) 617-8100
1950 University Ave
Palo Alto, CA
Business
Cardiovascular Medicine & Cardiac Arrhythmias
Specialties
Cardiology

Data Provided by:
Ian D Benham, MD
(650) 340-7323
184 W Poplar Ave
San Mateo, CA
Specialties
Cardiology
Gender
Male
Education
Medical School: A Einstein Coll Of Med Of Yeshiva Univ, Bronx Ny 10461
Graduation Year: 1973

Data Provided by:
John E Van Kirk, MD, FACC
(650) 342-1118
235 Amherst Ave
San Mateo, CA
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Mark Highman
(650) 573-3962
222 W 39th Ave
San Mateo, CA
Specialty
Cardiovascular Disease

Data Provided by:
Michael Lee Griffin, MD
(650) 558-8280
101 S San Mateo Dr Ste 111
San Mateo, CA
Specialties
Cardiology
Gender
Male
Education
Medical School: Southern Il Univ Sch Of Med, Springfield Il 62794
Graduation Year: 1980

Data Provided by:
Steven Hassid
(650) 573-2222
222 W 39th Ave
San Mateo, CA
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Himal Rajiv Shah, MD
(650) 347-0063
50 S San Mateo Dr Ste 370
San Mateo, CA
Specialties
Cardiology
Gender
Female
Education
Medical School: Krishna Inst Of Med Sci, Shivaji Univ, Karad, Maharashtra, India
Graduation Year: 1994

Data Provided by:
David A Kurzrock
(650) 696-4100
100 S San Mateo Dr
San Mateo, CA
Specialty
Cardiovascular Disease

Data Provided by:
Steve Mark Hassid, MD
(650) 573-2222
222 W 39th Ave
San Mateo, CA
Specialties
Cardiology
Gender
Male
Education
Medical School: Finch U Of Hs/Chicago Med Sch, North Chicago Il 60664
Graduation Year: 1985

Data Provided by:
Mark Loren Highman, MD
(650) 573-2170
222 W 39th Ave
San Mateo, CA
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Ca, San Francisco, Sch Of Med, San Francisco Ca 94143
Graduation Year: 1970

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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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