New Study... Comments??? New Blood Pressure Guidelines

ollinger

G.O.A.T.
1) In the past few decades recommended maximums for BP, glucose level, and cholesterol level have all gradually come down. Some of this may be related to scientific data, some may relate to commercial interests.

2) More and more data have questioned the value of lowering measured BP, though NOCTURNAL blood pressure seems more and more to correlate with vascular disease

3) Doctors now warn against watching fourth quarter of Knicks--Cavaliers games if you have borderline BP
 

SteveI

Legend
1) In the past few decades recommended maximums for BP, glucose level, and cholesterol level have all gradually come down. Some of this may be related to scientific data, some may relate to commercial interests.

2) More and more data have questioned the value of lowering measured BP, though NOCTURNAL blood pressure seems more and more to correlate with vascular disease

3) Doctors now warn against watching fourth quarter of Knicks--Cavaliers games if you have borderline BP

Great post. How does a team give up 43 points in one period???

I was guessing maybe having more folks on meds might be a great thing for the drug companies??

Your 2nd point... Thought I saw a study indicating higher BP in older folks might help prevent dementia ?? Better blood flow to the brain? Do I have even some of that correct??
 

Ramon

Legend
More money for the drug companies and we all pay for it with higher insurance premiums, as if they weren’t ridiculously egregious already!!


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r2473

G.O.A.T.
More money for the drug companies and we all pay for it with higher insurance premiums, as if they weren’t ridiculously egregious already!!
Although all patients will be counseled about lifestyle changes, such as exercise, only a small fraction will be prescribed medication, according to the authors
 

Ramon

Legend
Although all patients will be counseled about lifestyle changes, such as exercise, only a small fraction will be prescribed medication, according to the authors

Well, if it comes from CNN it must be true!



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r2473

G.O.A.T.
Well, if it comes from CNN it must be true!
You think people will start taking high blood pressure meds that are 130/80?

If doctors are going to start doing that (and people are going to follow that advice), then I'd suggest that this would happen with or without the new guidelines.
 

Soul

Semi-Pro
I personally don't worry about my BP level. I've seen a few studies finding that while lower BP levels naturally is positive, BP medications have not been found to improve or extend life spans.
 

Ramon

Legend
You think people will start taking high blood pressure meds that are 130/80?

If doctors are going to start doing that (and people are going to follow that advice), then I'd suggest that this would happen with or without the new guidelines.

I think it’s ridiculous. The reason insurance costs are so high in the first place is because of too much regulation and over treatment. This is pushing the envelope in the wrong direction, unless of course you own big shares in a drug company. I’ve been measured at 140/90 before but now I’m consistently at about 110/70. There’s a lot of variables to it that can push a normally healthy person into that range. If you happen to be 130/80 now you have a preexisting condition. Maybe you won’t get that job that requires someone to be in good condition. Maybe when you apply for life insurance your rates will be higher. More people now will be treated for high blood pressure and this costs money. Who’s paying for it? If you pay for health insurance you’re paying for it.


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prjacobs

Hall of Fame
There's a lot of money to be made by big Pharma if they lower the PB guidelines. It will also mean a huge increase in profits for insurance companies, moving millions of people into a pre existing condition category. Follow the money, fellow tennis players.


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MathGeek

Hall of Fame
Things like BP, heart rate, and blood sugar can vary considerably during the day or the week. A reading in an annual checkup is often not representative of what those values are the rest of the time. People are often a bit anxious visiting the doctor, and stress can cause a temporary increase in BP.

I'd be hesitant to go on blood pressure meds due to a single reading. Instead, I'd likely make plans to monitor my BP on a regular basis, record the numbers carefully, and understand my risk assessments based on trends over time rather than a single reading. Further, I'd take steps in diet and other lifestyle modifications to try and bring my BP into a healthier range rather than being quick to go on prescription medications.
 

Raul_SJ

G.O.A.T.
I personally don't worry about my BP level. I've seen a few studies finding that while lower BP levels naturally is positive, BP medications have not been found to improve or extend life spans.

I heard that at one time, the AMA considered the diastole number more important. But then later backed off from that.
 

Crocodile

G.O.A.T.
Stress, genetics, too much salt, bad fats and sugars along with being over weight can all make your blood pressure go up.
I think genetics and stress are the 2 biggest factors. I know a skinny guy who has very high BP and a fat guy who has normal BP. One needs to find out what their individual situation is. Improving lifestyle and diet can help but sometimes medication is needed. Finding which medication and dosage needed can be tricky but having a self monitoring device can help.
On the other hand I know people who measure themselves a lot and when they get a bad reading, they start to worry and then this makes their BP higher, whereas if they learn to live a relaxed life they do better.
 

Raul_SJ

G.O.A.T.
I don't have a home BP measuring device. My Doctor's office routinely takes BP on every visit. It has been normal over several visits in past 6 months. About 115/75.

Apparently nocturnal reading is supposed to be more indicative but the normal office result is good enough for me.

I am not going to worry about the nocturnal readings until I get an abnormal result at the office.

There are enough things to worry about already without obsessing over BP.
 

Nostradamus

Bionic Poster
I don't have a home BP measuring device. My Doctor's office routinely takes BP on every visit. It has been normal over several visits in past 6 months. About 115/75.

Apparently nocturnal reading is supposed to be more indicative but the normal office result is good enough for me.

I am not going to worry about the nocturnal readings until I get an abnormal result at the office.

There are enough things to worry about already without obsessing over BP.
Nocturnal reading is usually lower than daytime readings. because you are all Relaxed and about to go to sleep.
 
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