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.

David Schultz
(205) 933-4679
833 Saint Vincents Dr
Birmingham, AL
Specialty
Cardiovascular Disease

Data Provided by:
Barry Kennedy Rayburn, MD
(205) 934-3438
1900 University Blvd THT 321,
Birmingham, AL
Specialties
Cardiology
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1986

Data Provided by:
Jack William Brand Jr, MD
(205) 939-0139
2700 10th Ave S
Birmingham, AL
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduation Year: 1983

Data Provided by:
Donald Gibson Gordon, MD
(205) 599-3500
880 Montclair Rd
Birmingham, AL
Specialties
Cardiology, Nuclear Medicine
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1969
Hospital
Hospital: Brookwood Med Ctr, Birmingham, Al; Cooper Green Hosp, Birmingham, Al
Group Practice: Cardiovascular Associates Pc

Data Provided by:
Ramon Martinez Anastacio
(256) 332-1200
523 Gandy St Ne
Russellville, AL
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Sadasiva Rao Katta
(256) 882-1450
185 Whitesport Dr Sw
Huntsville, AL
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Thomas Neilsen
(205) 934-5038
619 19th St S
Birmingham, AL
Specialty
Cardiovascular Disease

Data Provided by:
Albert V Chan, MD
(334) 265-7075
440 Taylor Rd Ste 3230
Montgomery, AL
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines
Graduation Year: 1988

Data Provided by:
Youssef N Makar, MD, FACC
(205) 599-3513
2980 Overton Rd
Birmingham, AL
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Gregory Allen Thomas
(205) 780-8980
817 Princeton Ave Sw
Birmingham, AL
Specialty
Thoracic Surgery, Vascular Surgery, Cardiac Surgery

Data Provided by:
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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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