High blood pres­sure re­de­fined as 130, not 140 – US guide­lines

Manila Times - - WORLD - AFP

LOS AN­GE­LES: High blood pres­sure was re­de­fined Mon­day by the Amer­i­can Heart As­so­ci­a­tion, which said the dis­ease should be treated sooner, when it reaches 130/80 mm Hg, not the pre­vi­ous limit of 140/90.

Doc­tors now rec­og­nize that com­pli­ca­tions “can oc­cur at those - date to com­pre­hen­sive US guide­lines on blood pres­sure de­tec­tion and treat­ment since 2003.

A di­ag­no­sis of the new high blood pres­sure does not nec­es­sar­ily mean a per­son needs to take med­i­ca­tion, but that “it’s a yel­low light that you need to be low­er­ing your blood pres­sure, mainly with non- drug ap­proaches,” said Paul Whel­ton, lead au­thor of the guide­lines pub­lished in the Amer­i­can Heart As­so­ci­a­tion jour­nal, Hyper­ten­sion, and the Jour­nal of the Amer­i­can Col­lege of Car­di­ol­ogy.

Healthy life­style changes in more, eat­ing health­ier, avoid­ing al­co­hol and salt, quit­ting smok­ing and avoid­ing stress.

The new stan­dard means that nearly half (46 per­cent) of the hav­ing high blood pres­sure.

Pre­vi­ously, one in three (32 per­cent) had the con­di­tion, which is the sec­ond lead­ing cause of pre­ventable heart dis­ease and stroke, af­ter cig­a­rette smok­ing.

The nor­mal limit for blood pres­sure is considered 120 for sys­tolic, or how much pres­sure the blood places on the artery walls when the heart­beats, and 80 for di­as­tolic, which is mea­sured be­tween beats.

Once a per­son reaches 130/80, “you’ve al­ready dou­bled your risk of car­dio­vas­cu­lar com­pli­ca­tions com­pared to those with a nor­mal level of blood pres­sure,” said Whel­ton.

“We want to be straight with peo­ple— if you al­ready have a dou­bling of risk, you need to know about it.”

Peo­ple in 40s most af­fected

Once considered mainly a dis­or­der among peo­ple 50 and older, the new guide­lines are peo­ple in their 40s with high blood pres­sure.

“The preva­lence of high blood among men un­der age 45, and dou­ble among women un­der 45,” ac­cord­ing to the re­port.

Dam­age to the blood ves­sels is al­ready be­gin­ning once blood pres­sure reaches 130/80, said the guide­lines, which were based in part on a ma­jor US-gov­ern­ment funded study of more than 9,000 peo­ple na­tion­wide.

The cat­e­gory of pre­hy­per­ten­sion, which used to re­fer to peo­ple with sys­tolic pres­sure of - ing to the new guide­lines.

“Peo­ple with those read­ings now will be cat­e­go­rized as hav­ing ei­ther El­e­vated (120-129 and less than 80) or Stage I hyper­ten­sion (130-139 or 80-89).”

Med­i­ca­tion is only rec­om­mended for peo­ple with Stage I hyper­ten­sion “if a pa­tient has al­ready had a car­dio­vas­cu­lar event such as a heart at­tack or stroke, or is at high risk of heart at­tack or stroke based on age, the pres­ence of di­a­betes mel­li­tus, chronic kid­ney dis­ease or cal­cu­la­tion of atheroscle­rotic risk.”

The proper tech­nique must be used to mea­sure blood pres­sure, and lev­els “should be based on an av­er­age of two to three read­ings on at least two dif­fer­ent oc­ca­sions,” said the re­port.

“I ab­so­lutely agree with the change in what is considered high blood pres­sure be­cause it al­lows for early life­style changes to be ad­dressed,” said Satjit Bhusri, a - tal in New York.

“It is im­por­tant, how­ever, to re­al­ize that the change in the to in­crease pre­scrip­tion of med­i­ca­tions, rather that it brings to light the need to make life­style changes,” Bhusri said in an email to Agence France-Presse.

The new guide­lines were an­nounced at the Amer­i­can Heart - sions con­fer­ence in Ana­heim, Cal­i­for­nia.

Newspapers in English

Newspapers from Philippines

© PressReader. All rights reserved.