Blood Pressure Specialist Tiffin OH

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.

Dinesh Chhotalal Thekdi, MD
(419) 448-8466
485 W Market St
Tiffin, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Bj Med Coll, Gujarat Univ, Ahmedabad, Gujarat, India
Graduation Year: 1968

Data Provided by:
Solomon E Erulkar
(419) 435-8568
801 Park Ave
Fostoria, OH
Specialty
Internal Medicine, Cardiovascular Disease

Data Provided by:
Wael Khoury, MD
(216) 475-5370
12000 McCracken Rd
Cleveland, OH
Business
Cardiology Associates Of Cleveland
Specialties
Cardiology

Data Provided by:
Steven J Yakubov, MD
(614) 262-6772
3705 Olentangy River Rd
Columbus, OH
Business
MidOhio Cardiology & Vascular Consultants Inc
Specialties
Cardiology

Data Provided by:
Ali N Shaikh
(440) 895-1555
21851 Center Ridge Rd
Rocky River, OH
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Dinesh Chhotalal Thekdi, MD
(419) 448-8466
485 W Market St Fl 2
Tiffin, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Bj Med Coll, Gujarat Univ, Ahmedabad, Gujarat, India
Graduation Year: 1969

Data Provided by:
William Louis Padamadan, MD
(419) 334-4428
1800 Ernest Dr
Fremont, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Med Coll, Univ Of Kerala, Trivandrum, Kerala, India
Graduation Year: 1962

Data Provided by:
Mark E Krebs, MD
(937) 223-4461
122 Wyoming St
Dayton, OH
Business
Miami Valley Cardiologists Inc
Specialties
Cardiology

Data Provided by:
Charles Francis Botti, MD
(614) 262-6772
3545 Olentangy River Rd Ste 325
Columbus, OH
Specialties
Cardiology
Gender
Male
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1986

Data Provided by:
Daniel Edgardo Nento
(216) 444-2200
9500 Euclid Ave
Cleveland, OH
Specialty
Thoracic Surgery, Vascular Surgery, Cardiac Surgery

Data Provided by:
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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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