Blood Pressure Specialist Taylorville IL

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.

Sunil Lulla, MD
(630) 852-0230
4121 Fairview Ave
Downers Grove, IL
Business
Midwest Cardiac Consultants
Specialties
Cardiology

Data Provided by:
Anthony F Cutilletta, MD
(312) 942-6003
1909 N Howe St
Chicago, IL
Specialties
Cardiology, Pediatrics
Gender
Male
Languages
Spanish, Tagalog
Education
Medical School: Univ Of Chicago, Pritzker Sch Of Med, Chicago Il 60637
Graduation Year: 1968
Hospital
Hospital: Rush Presbyterian St Lukes Med, Chicago, Il
Group Practice: Children's Heart Ctr

Data Provided by:
James Calvin
(312) 942-5020
1725 W Harrison St
Chicago, IL
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Anand V Ramanathan, MD
120 Spalding Dr Ste 206
Naperville, IL
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1992

Data Provided by:
Hang-Jin H Shin
(708) 824-1114
2338 New St
Blue Island, IL
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Rick L Jobski, MD
(847) 253-8050
1632 W Central Rd
Arlington Heights, IL
Business
Northwest Heart Specialtists SC
Specialties
Cardiology

Data Provided by:
Kirit Desai, MD
(713) 988-6850
402 W Boughton Rd
Bolingbrook, IL
Specialties
Cardiology
Gender
Male
Education
Medical School: Med Coll, Baroda Univ, Baroda, Gujarat, India
Graduation Year: 1971

Data Provided by:
Steven Bruce Feinstein, MD
(312) 942-4601
1653 W Congress Pkwy Rm 1015 Jelke
Chicago, IL
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1977

Data Provided by:
Thomas Gleason, MD, MS, FACC
(312) 695-4867
201 E Huron St Galter 10-105
Chicago, IL
Specialties
Cardiology, Vascular Surgery
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Samuel I Goldstein
(847) 698-5500
1875 Dempster St
Park Ridge, IL
Specialty
Cardiology, Cardiovascular Disease

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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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