Blood Pressure Specialist West Plains MO

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.

Achenkunju K George, MD
(417) 257-2686
780 N Kentucky St
West Plains, MO
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Td Med Coll, Univ Of Kerala, Aleppey, Kerala, India
Graduation Year: 1986
Hospital
Hospital: Ozarks Med Ctr, West Plains, Mo
Group Practice: Cardiology Of The Ozarks

Data Provided by:
Sudhir K Jain, MD
(314) 894-4900
11124 S Towne Sq
Saint Louis, MO
Business
Washington University Division of Cardiology
Specialties
Cardiology

Data Provided by:
Rachel Ash-Bernal, MD
(314) 747-3031
660 S Euclid Ave
Saint Louis, MO
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
James Elias Sear
(816) 523-4525
6420 Prospect St
Kansas City, MO
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
James Joseph Spadaro, MD
(314) 966-8118
505 Couch Ave Ste 110
Saint Louis, MO
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1976
Hospital
Hospital: St Joseph Hospital Of Kirkwood, Kirkwood, Mo

Data Provided by:
Jeffrey T Silverman
(417) 257-5950
1115 Alaska St
West Plains, MO
Specialty
Cardiology, Internal Medicine

Data Provided by:
John R Raabe, MD
(314) 965-3032
13358 Manchester Rd
Saint Louis, MO
Business
Optima Heartcare Inc
Specialties
Cardiology

Data Provided by:
Jawed H Siddiqui, MD, FACC
(314) 921-6200
11115 New Halls Ferry Rd Ste 301
Florissant, MO
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Steven Lee Allyn, MD
(417) 888-7730
1900 S National Ave Ste 3600
Springfield, MO
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1983
Hospital
Hospital: St Johns Reg Health Center, Springfield, Mo
Group Practice: St Johns Clinic Cardiology; Thoracic Cardiovascular Spec

Data Provided by:
James E Fairlamb
(573) 256-7700
1605 E Broadway
Columbia, MO
Specialty
Cardiovascular Disease

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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