Blood Pressure Specialist Scottsboro AL

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.

A Khong, MD
3401 Medicine Parks Drive
Mobile, AL
Specialties
Cardiology
Gender
Male
Education
Medical School: Chulalongkorn Univ, Fac Of Med, Bangkok, Thailand
Graduation Year: 1989

Data Provided by:
David Thornton Trice, MD
(334) 990-1920
188 Hospital Dr Ste 100
Fairhope, AL
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1982
Hospital
Hospital: North Baldwin Hosp, Bay Minette, Al; Thomas Hosp, Fairhope, Al; South Baldwin Reg Med Ctr, Foley, Al; Mobile Infirmary Med Ctr, Mobile, Al; Springhill Memorial Hosp, Mobile, Al; Providence Hosp, Mobile, Al
Group Practice: Cardiology Associate

Data Provided by:
Handel G A White, MD
(334) 479-1162
2806 Kings Mill Dr W
Mobile, AL
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of West Indies, Fac Med Sci, Kingston, Jamaica (950-01 Pr 1/71)
Graduation Year: 1983

Data Provided by:
Simon Roland Brooks
(334) 793-9564
4300 W Main St
Dothan, AL
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Martin Thomas Bailey, MD
(205) 780-4330
801 Princeton Ave SW Ste 707
Birmingham, AL
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1970

Data Provided by:
William J Atkinson Jr, MD
Mobile, AL
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1943

Data Provided by:
Jose L Escobar, MD
(334) 462-0383
2119 E South Blvd
Montgomery, AL
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Fed De Rio Grande Do Sul, Fac De Med, Porto Alegre, Rs, Brazil
Graduation Year: 1979

Data Provided by:
Beverly A Stoudemire-Howlett
(334) 280-1500
273 Winton M Blount Loop
Montgomery, AL
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Robert W Theakston, MD
(516) 622-4548
Valley Head, AL
Specialties
Cardiology
Gender
Male
Education
Medical School: American Univ Of The Caribbean, Sch Of Med, Plymouth, Montserrat
Graduation Year: 1990

Data Provided by:
Sakina Ali Kamal, MD
(205) 343-2811
4401 Watermelon Rd
Northport, AL
Specialties
Cardiology
Gender
Female
Education
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduation Year: 1983

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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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