Blood Pressure Specialist Sturgis MI

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.

Kris Warszawski MD
(734) 522-9800
2011 Middlebelt Rd
Garden City, MI
Specialties
Cardiology

Data Provided by:
Joseph Naoum, MD
(586) 465-1326
133 S Main St
Mount Clemens, MI
Business
Internal Medicine Associates
Specialties
Cardiology

Data Provided by:
Kenzo Kawamura
(269) 343-0980
1535 Gull Rd
Kalamazoo, MI
Specialty
Cardiology

Data Provided by:
Nancy Attia Mesiha, MD
(313) 691-8541
1465 Blairmoor Ct
Grosse Pointe Woods, MI
Specialties
Cardiology
Gender
Female
Education
Medical School: Univ Of Cairo, Fac Of Med, Cairo, Egypt (330-02 Prior 1/71)
Graduation Year: 1987

Data Provided by:
Rajendra H Mehta
(517) 787-3577
205 Page Ave
Jackson, MI
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
John F Collins, MD
(989) 754-3000
1015 S Washington Ave
Saginaw, MI
Business
Michigan Cardiovascular Institute
Specialties
Cardiology

Data Provided by:
Joyce Adelle Strohl, MD
(810) 342-2372
PO Box 4038
Flint, MI
Specialties
Cardiology
Gender
Female
Education
Medical School: Pa State Univ Coll Of Med, Hershey Pa 17033
Graduation Year: 1976

Data Provided by:
George Stephen Hanzel, MD
(248) 551-5242
1774 Pierce St
Birmingham, MI
Specialties
Cardiology
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1993

Data Provided by:
Michael F Romanelli
(586) 776-4200
27550 Schoenherr Rd
Warren, MI
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Anthony King, MD
(269) 567-2405
1722 Shaffer St Ste 1
Kalamazoo, MI
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Dartmouth Med, Hanover Nh 03755
Graduation Year: 1978
Hospital
Hospital: Borgess Med Ctr, Kalamazoo, Mi
Group Practice: Heart Center For Excellence

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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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