Blood Pressure Targets

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jay1000 - 14 Jul 2006 00:53 GMT

My doctor is targeting my blood pressure treatment is to obtain a systolic
pressure of less than 135 mm. Blood pressure varies during the course of
the day...in my case between 115 mm and 150 mm with an average of 130 mm.
So how important are the readings above 135 mm. Is my doc shooting for 100%
less than 135 mm? Or 95% less than 135 mm? Or is only the average
important?

I'll ask him next week, but I would like to get some understanding of the
problem before I see him.

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Andrew B. Chung, MD/PhD - 14 Jul 2006 01:32 GMT

> My doctor is targeting my blood pressure treatment is to obtain a systolic
> pressure of less than 135 mm. Blood pressure varies during the course of
[quoted text clipped - 5 lines]
> I'll ask him next week, but I would like to get some understanding of the
> problem before I see him.

It is likely he is shooting for 100% less than 135 mmHg systolic.

Prayerfully in Christ's amazing love,

Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/TheTruth

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Juhana Harju - 14 Jul 2006 06:14 GMT

: My doctor is targeting my blood pressure treatment is to obtain a
: systolic pressure of less than 135 mm. Blood pressure varies during
[quoted text clipped - 5 lines]
: I'll ask him next week, but I would like to get some understanding of
: the problem before I see him.

"I think physicians should be shooting for the blood-pressure goals laid
down in the guidelines—140/90 for most people—but not lower than this unless
the patient is diabetic—then 130/80 is the target. There is no evidence in
favor of going lower than these values."

http://www.theheart.org/viewArticle.do?primaryKey=715681&nl_id=tho20jun06
(May require registration but it is free.)

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Juhana

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jay1000 - 15 Jul 2006 02:26 GMT

Juhana

My resting (base line) systolic blood pressure can vary by 35 mm over the
course of the day. So the question is what is the target? Is it the
average over the course of a the day? Or is it the maximum reading anytime
during the day?

I have done quite a few Internet searches and have not found this question
answered anywhere.

Jay

> : My doctor is targeting my blood pressure treatment is to obtain a
> : systolic pressure of less than 135 mm. Blood pressure varies during
[quoted text clipped - 14 lines]
> http://www.theheart.org/viewArticle.do?primaryKey=715681&nl_id=tho20jun06
> (May require registration but it is free.)

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Juhana Harju - 15 Jul 2006 07:02 GMT

: My resting (base line) systolic blood pressure can vary by 35 mm over
: the course of the day. So the question is what is the target? Is
[quoted text clipped - 3 lines]
: I have done quite a few Internet searches and have not found this
: question answered anywhere.

I don't have any exhaustive answer to your question but ambulatory blood
pressure monitoring (ABPM) is used in people with an unusual variability.

http://www.netdoctor.co.uk/health_advice/examinations/measuringbloodpressure.htm

I am not a doctor.

--
Juhana

::: My doctor is targeting my blood pressure treatment is to obtain a
::: systolic pressure of less than 135 mm. Blood pressure varies during
[quoted text clipped - 14 lines]
:: http://www.theheart.org/viewArticle.do?primaryKey=715681&nl_id=tho20jun06
:: (May require registration but it is free.)

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Ignatz's Bricks - 22 Jul 2006 15:42 GMT

> http://www.netdoctor.co.uk/health_advice/examinations/measuringbloodpressure.htm

Juhana,

I looked at your link since we are in the process of documenting what I
feel is over prescribing blood pressure lowering medication for my wife.

While looking about on this British site, I noticed:

http://www.netdoctor.co.uk/hilaryjones/secondopinion/cholesterol.htm
____________________________

Lowering cholesterol levels

Cut down on all fat, especially saturated fat, and eat more starchy foods.
_____________________________

Is that a misprint, or did the site intend to say that eating more
starchy foods lowers cholesterol?

IB

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Jim Chinnis - 22 Jul 2006 15:53 GMT

Ignatz's Bricks <IgnatzBricks@aol.com.no.net> wrote in part:

>> http://www.netdoctor.co.uk/health_advice/examinations/measuringbloodpressure.htm
>
[quoted text clipped - 17 lines]
>
>IB

It's what a lot of mis-informed people believe. The evidence to the contrary
stretches back to at least the 1950s.
--
Jim Chinnis Warrenton, Virginia, USA

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William Wagner - 22 Jul 2006 16:06 GMT

> > http://www.netdoctor.co.uk/health_advice/examinations/measuringbloodpressure
> > .htm
[quoted text clipped - 18 lines]
>
> IB

I'm sure Juhana and Susan will be helpful.

Meanwhile on a rainy day take a peak at these sites below.

I like to use these with real data then change a few parameters to see
what effect may happen.

Best !

Bill

http://www.yourdiseaserisk.harvard.edu/hccpquiz.pl?func=start&quiz=he
art

http://heartdisease.about.com/gi/dynamic/offsite.htm?site=http%3A%2F%2Fhe
althlink.mcw.edu%2Farticle%2F923521437.html

http://www.diabetes.org/diabetesphd/default.jsp

http://www.nhlbi.nih.gov/hbp/

http://www.mayoclinic.com/health/heart-disease-risk/HB00047

http://www.americanheart.org/presenter.jhtml?identifier=3027275

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Juhana Harju - 22 Jul 2006 17:24 GMT

http://www.netdoctor.co.uk/health_advice/examinations/measuringbloodpressure.htm

: Juhana,
:
[quoted text clipped - 14 lines]
: Is that a misprint, or did the site intend to say that eating more
: starchy foods lowers cholesterol?

Increasing fiber can be helpful but all starchy foods are not healthy.
Cutting saturated fat is advisable but it is not reasonable to to cut
healthy unsaturated fats. In fact omega-3 fatty acids in fatty fish and fish
oils enhance endotelial function and hence they are helpful in high blood
pressure.

To my knowledge a modified DASH diet with reduced salt intake and slightly
increased protein is at the moment the most efficient diet for lowering
blood pressure. The diet includes plenty of vegetables, fruits and
moderately non-fat or low fat dairy. For further detailes search for the
DASH diet. The DASH diet lowers blood pressure as efficiently as a single
blood pressure lowering drug.

I would also like to recommend drinking a daily glass of pomegranate juice
as it has been shown to be very efficient in lowering blood pressure.
Systolic blood pressure was lowered average 21 mmHg in hypertensive patients
drinking 250 ml pomegranate juice daily for one year. The juice also
increases antioxidant protection and to reduces plaques in arteries.

In addition, weight reduction, exercise and relaxation lower blood pressure.

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Juhana

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Ignatz's Bricks - 23 Jul 2006 02:20 GMT

Thanks, Jim, William and Juhana!

I wrote:

> : http://www.netdoctor.co.uk/hilaryjones/secondopinion/cholesterol.htm
> : ____________________________
[quoted text clipped - 6 lines]
> : Is that a misprint, or did the site intend to say that eating more
> : starchy foods lowers cholesterol?

Thanks, Jim, William and Juhana!

OK, I shot myself in the foot when I mentioned my wife's blood pressure
in the beginning. I was asking about cholesterol.

The part about "eat more starchy foods" to lower cholesterol is what I
thought to be completely wrong. It may simply be the English language
that is tripping me up. When I went to school back in the 1950s
"starchy foods" were defined as pasta, breads and crackers. Is this
what that site is recommending? I thought they were to be avoided to
lower cholesterol.

For the record: 2G Niacin, 500mg Krill oil and 8 fl. oz. (118ml) of
Pomegranate juice daily have brought my cholesterol into range much
better than the prescription medicines ever did and at less expense and
without any side effects (except lowering my blood pressure slightly,
which was not high in the beginning).

I am still tweaking the rest of my diet.

IB

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Juhana Harju - 23 Jul 2006 07:31 GMT

: Thanks, Jim, William and Juhana!
:
[quoted text clipped - 22 lines]
: what that site is recommending? I thought they were to be avoided to
: lower cholesterol.

It is very clear refined grains are bad but soluble fiber does lower
cholesterol. Oats and especially oat bran is high in soluble fiber as are
many vegetables (aubergine, okra), fruits (apples, plums) and some berries
(strawberries). High intake of soluble fiber is one of the four arms of the
Portfolio diet which is probably the most efficient diet to reduce
cholesterol.

Detailed information about the Portfolio diet:
http://www.portfolioeatingplan.com/

: For the record: 2G Niacin, 500mg Krill oil and 8 fl. oz. (118ml) of
: Pomegranate juice daily have brought my cholesterol into range much
: better than the prescription medicines ever did and at less expense
: and without any side effects (except lowering my blood pressure
: slightly, which was not high in the beginning).

Your combination sounds good. It is also nice to hear that it works. Good
luck!

: I am still tweaking the rest of my diet.
:
: IB

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Juhana

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