Blood Pressure Specialist Vinton VA

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.

Joelle Miller
(540) 224-4545
102 Highland Ave Se
Roanoke, VA
Specialty
Pediatric Cardiology

Data Provided by:
Jacek Slowikowski, MD
(540) 342-7941
102 Highland Ave SE Ste 101
Roanoke, VA
Specialties
Cardiology, Nuclear Medicine
Gender
Male
Languages
German, Polish
Education
Medical School: Akademia Med We Wroclawiu Im Piastow Slaskich, Wroclaw, Poland
Graduation Year: 1981
Hospital
Hospital: Carilion Roanoke Community Hos, Roanoke, Va; Roanoke Memorial Hospital, Roanoke, Va; Montgomery Regional Hospital, Blacksburg, Va; Lewis-Gale Med Ctr, Salem, Va
Group Practice: Cardiology Associates Of VA

Data Provided by:
William Meriwether Gay, MD
(540) 224-4545
102 Highland Ave SW Ste 101
Roanoke, VA
Specialties
Cardiology
Gender
Male
Education
Medical School: Eastern Va Med Sch Of The Med Coll Of Hampton Roads, Norfolk Va 23501
Graduation Year: 1980

Data Provided by:
Jeffrey Scott Todd, MD
(540) 982-8204
1615 Franklin Rd SW
Roanoke, VA
Specialties
Cardiology
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1988

Data Provided by:
Philip Thompson Shiner, MD
(540) 982-8204
1615 Franklin Rd SW
Roanoke, VA
Specialties
Cardiology
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1964
Hospital
Hospital: Roanoke Memorial Hospital, Roanoke, Va
Group Practice: Consultants IN Cardiology

Data Provided by:
Herbert Whitley
(540) 224-4545
102 Highland Ave Se
Roanoke, VA
Specialty
Pediatric Cardiology

Data Provided by:
Joelle De Vore Miller, MD
(540) 224-4545
102 Highland Ave SE Ste 101
Roanoke, VA
Specialties
Cardiology
Gender
Female
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1983

Data Provided by:
Amjad Uzair Wyne
(540) 982-8204
1615 Franklin Rd Sw
Roanoke, VA
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Joseph Lee Austin, MD
(540) 982-8204
1615 Franklin Rd SW
Roanoke, VA
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1975
Hospital
Hospital: Carilion Roanoke Community Hos, Roanoke, Va; Roanoke Memorial Hospital, Roanoke, Va; Lewis-Gale Pavilion, Salem, Va
Group Practice: Consultants IN Cardiology

Data Provided by:
Dr.Rodney Savage
(540) 982-8202
1615 Franklin Road Southwest
Roanoke, VA
Gender
M
Education
Medical School: Northwestern Univ Med Sch
Year of Graduation: 1978
Speciality
Cardiologist
General Information
Hospital: Carilion Roanoke Community Hos, Roanoke, Va
Accepting New Patients: Yes
RateMD Rating
2.8, out of 5 based on 2, reviews.

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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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