Have you
had your blood pressure checked lately?
Have your local health provider check your blood pressure to see if
your treatment is on track.
Acupunture may help to lower blood pressure as found in a Taiwan
study entitled: Cardiovascular and endocrine effects of acupuncture in
hypertensive patients.
found in Clinical and Experimental Hypertension 1997
Oct;19(7):1047-63
Top Blood Pressure
Number Key For Gauging Heart Disease Risk
The top number in a blood pressure reading is the best way to
determine a person's heart attack and stroke risk, and should be
used to guide treatment. But many doctors continue to treat patients
based on the lower number, and the study put out in the Archives of
Internal Medicine states that this practice should change. The top
number measures systolic blood pressure, the force on blood
vessel walls during a heart beat. The bottom, or diastolic,
number gauges pressure when the heart is at rest between beats. High
blood pressure is defined as a systolic reading of 140 millimeters
of mercury (mm Hg) or greater or a diastolic reading of 90 mm Hg or
above. The diastolic number has conventionally been viewed as a more
sensitive indicator of hypertension, and is the reading that
commonly influences clinical decision-making regarding degree of
disease present and what therapeutic steps should be taken. In the
current study researchers found that patients with uncontrolled
systolic blood pressure were almost 2.5 times more likely to die of
heart disease than patients with controlled blood pressure. But risk
of death from cardiovascular disease was not associated with
diastolic blood pressure. The study also revealed that 85.5% of men
being treated for high blood pressure had uncontrolled systolic or
diastolic blood pressure, or both. These patients had a 66% greater
risk of death associated with heart disease than those men with
controlled blood pressure. This clearly confirms that, as measured
in a clinical setting, a controlled blood pressure, especially
systolic blood pressure, is uncommon. Nevertheless, the authors
emphasize that treating systolic blood pressure is of greater value
than treating diastolic blood pressure since it has been shown to be
a better predictor of death from heart disease.
References
Benetos A, Thomas F, Bean K,
Gautier S, Smulyan H, Guize L. Prognostic value of systolic and
diastolic blood pressure in treated hypertensive men. Archives of
Internal Medicine March 11, 2002;162: 577-581