FROM OUR EXPERTS
A newly published study, The Role of Clinical Uncertainty in Treatment Decisions for Diabetic Patients with Uncontrolled Blood Pressure , points out that people with
diabetes and hypertension (AKA high blood pressure or HBP) often see their
physicians, have high BP readings, yet don't have their HBP treatment adjusted.
The authors give examples of
why physicians procrastinate, ranging from the obvious (the patient showed up at
the clinic for another problem that took priority) to the seemingly bizarre (if
more than one reading was obtained, which blood pressure value or which
combination of values would best represent a patient's true blood pressure).
Perhaps of some concern is
that the authors only investigated the behavior of primary care Veteran's
Administration physicians; whether the behaviors of private-practice
physicians, specialists, or Nurse Practitioners or Physician Assistants would
be different can only be speculated. It might well be worse in other settings,...
During any type of medical visit, there are four main vital signs that are routinely monitored by the medical professionals. These vital signs assist the healthcare providers with detecting and monitoring potential medical problems. One of the vital signs monitored by the physician is the pulse rate. The pulse rate and high blood pressure are significant in that the rate of the pulse is firm and strong if your blood pressure is not elevated.
Because high blood pressure causes tension and complicates cardiovascular normal activity, it may cause stress with your pulse activity. Meaning, the arteries experience resistance against the flow of the blood. The pulse rate calculates the number of times the heart beats per minute. The rate measurements indicate the heart rate, heart rhythm and the strength of your pulse. Therefore, high blood pressure slows down normal blood flow causing the arteries to demonstrate difficulty with expanding.
Your blood pressure responds differen...
My doctor didn't give me one of the new drugs that are good for my blood pressure. Is this because she is not up to date? Recently the New York Times ran an editorial and several pieces on the "Op Ed" page about lecturers having conflicts of interest when giving such lectures. I am currently on a plane preparing to give grand rounds to doctors at a community hospital on the subject of hypertension control. At this particular hospital, and others at which I have lectured, they were quite careful to make sure that I disclose any such conflicts. As do many other physicians, I receive indirect support for some of my research from drug companies. It is indirect because the research that I do has to do with adjudication (or judging) of adverse events, reporting of side effects, and what is called "investigator initiated research" (not related to the use of the drug or device, directed at finding out why the disease does what it does). As such, the type of...
You should know
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