The big news announced yesterday was that people older than 60 can now have higher blood pressure before their doctors will tell them to take drugs to bring it down. But the guidelines for those of us who have diabetes remain the same.
An expert panel says in its new guidelines that people over 60 need to keep their blood pressure below 150/90 rather than the 140/90 level as previously recommended. And people with diabetes of any age still need to keep it below 140/90.
The expert panel of 17 academics reported its findings in JAMA , the Journal of the American Medical Association after reviewing the evidence for the last five years. The full-text of its report, “2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults,” is free online .
The goal for people with diabetes, 140/90, means a systolic blood pressure of no more than 140 millimeters of mercury, abbreviated as mmHG. This systolic pressure shows the pressure on our blood vessels whe...
There are times it is normal for the heart to beat harder, such as if you are out hiking and encounter a bear. Your blood pressure will jump so larger levels of oxygenated, nutrient rich blood is sent through your system and you are able to react. All part of the flight or fight response.
When you are diagnosed for high blood pressure your blood pressure is not just high for limited periods of time. It is consistently elevated. This means the heart is constantly working harder than it should.
Here are 7 reasons your heart may be dealing with this increased workload:
1. Atherosclerosis (narrowing of the arteries) - This may be caused by cholesterol deposits along arterial walls resulting in plaque buildup. Fibrosis or endothelial dysfunction may also result in narrower arteries. When arteries narrow the heart has to pump harder (exert more force) to move blood throughout the system.
2. Overweight and obesity - Fat is a tissue that requires a constant blood s...
Medications Several classes of drugs are used to treat hypertension. Diuretics Diuretics help the kidneys get rid of excess salt and water. They are the mainstays of anti-hypertensive therapy and are often the first type of drug selected for most people with hypertension. They are also especially helpful for treating patients with heart failure, patients with isolated systolic hypertension, the elderly, and African-Americans. (African-Americans are more likely to be salt-sensitive, so they respond well to these drugs.) They also work well for patients with diabetes. Diuretics are often used in combination with other antihypertensive drugs. There is strong evidence that diuretics work just as well as newer drugs in lowering blood pressure and are more effective in preventing heart failure, heart attack, and stroke. Diuretic Types and Brands. The three main types of diuretics include: Thiazide diuretics. These include chlorothiazide (Diuril), chlorthalidone (Hygroton), indapamide (Lozol), hyd...
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