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17 Million US Adults May Have Tough-to-Spot High Blood Pressure

Posted 3 days ago by Drugs.com

THURSDAY, Jan. 19, 2017 – You get your blood pressure checked at your doctor's office, and it reads in the normal range. You're fine, right? Well, maybe not. A new study suggests that 17 million American adults may have what doctors call "masked" hypertension – blood pressure that tends to be higher outside of the medical clinic environment. "It can manifest itself as a normal physician's office blood pressure and elevated home blood pressure," explained Dr. Kevin Marzo, a heart specialist who reviewed the findings. The best way to spot masked hypertension is "either with self-monitoring or an ambulatory [wearable] blood pressure monitor that a physician has a patient wear for 24 hours," said Marzo. He's chief of cardiology at Winthrop-University Hospital in Mineola, N.Y. But how common is the condition? To find out, a team led by Dr. Joseph Schwartz of Stony Brook University in Stony ... Read more

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Hispanics, Blacks Less Likely to Get High Blood Pressure Treatment: Study

Posted 5 days ago by Drugs.com

TUESDAY, Jan. 17, 2017 – Black and Hispanic Americans are less likely than whites to get high blood pressure under control, a new study suggests. Researchers reviewed data from nearly 8,800 adults who took part in the 2003-2012 U.S. National Health and Nutrition Examination Survey. The study team found that 74 percent of white patients were getting treatment for high blood pressure. For blacks, the treatment rates were slightly lower at 71 percent. For Hispanics, the high blood pressure treatment rate was only 61 percent. Researchers also looked at high blood pressure control rates, defined as readings below 130/80 millimeters of mercury (mm Hg) for those with diabetes or chronic kidney disease, and below 140/90 mm Hg for everyone else. Control rates were 43 percent for whites, 37 percent for blacks and 31 percent for Hispanics, the study reported. Black and Hispanics younger than 60 ... Read more

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High Blood Pressure May Not Be All Bad in the Elderly: Study

Posted 5 days ago by Drugs.com

TUESDAY, Jan. 17, 2017 – Developing high blood pressure in very old age may provide some protection from dementia, a new study suggests. In middle age, high blood pressure – also called hypertension – boosts dementia risk later in life, said study lead researcher Maria Corrada. It also raises your risk for heart attack and stroke. But its onset in the eighth or ninth decade of life was linked to lower risk of mental decline in one's 90s, her team found. "Hypertension in the very old is not detrimental for mental health," said Corrada, a professor of neurology and epidemiology at the University of California, Irvine. Several factors may help explain the apparent association between late-life high blood pressure and lower dementia risk, Corrada said. For one, as people age, blood pressure may need to increase to keep blood flowing to the brain for normal functioning. "It's a matter of ... Read more

Related support groups: High Blood Pressure, Hypertension, Metoprolol, Atenolol, Losartan, Propranolol, Hydrochlorothiazide, Benicar, Diovan, Dementia, Bystolic, Carvedilol, Alzheimer's Disease, Bisoprolol, Cozaar, Coreg, Micardis, Valsartan, Inderal, Sotalol

Medical Groups Raise Blood Pressure Rx Threshold for Healthy Adults Over 60

Posted 6 days ago by Drugs.com

MONDAY, Jan. 16, 2017 – Two leading medical organizations are recommending a less aggressive target for the treatment of high blood pressure in adults 60 and older who are otherwise healthy. Traditionally, the threshold for high blood pressure has been set at 140 mmHg systolic blood pressure (the top number in a reading). But the new guideline says doctors should now begin treatment when adults 60 and older have persistent systolic blood pressure that's at or above 150 mmHg, to reduce their risk of heart problems, stroke and death. A less aggressive target like this offers a suitable balance of benefits and potential harms for these patients, according to the new guideline from the American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP). Any additional benefit from more aggressive treatment is small, the groups say. Doctors specializing in the cardiac ... Read more

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Patient Safety May Drop During Doc Rotations

Posted 6 Dec 2016 by Drugs.com

TUESDAY, Dec. 6, 2016 – Hospitalized patients who are handed off by their original medical team to a new set of caregivers may ultimately face a higher risk of early death, new research warns. The finding does not apply to daily shift changes or new patients who see one doctor or nurse at admitting, and then another shortly thereafter. Rather, it centers on a standard hospital dynamic known as "rotations," in which teams of caregivers hold the fort for a defined amount of time, sometimes weeks, before turning their pool of patients over to a new team. Such a transition "occurs each month when a training physician [resident] switches clinical rotations by transferring the care of hospitalized patients, often up to 10 to 20 at a time, to an oncoming physician who has never met the patients," explained study author Dr. Joshua Denson. He is a fellow in the division of pulmonary sciences ... Read more

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Untreated High Blood Pressure Greatly Raises Risk of 'Bleeding' Stroke

Posted 19 Feb 2016 by Drugs.com

THURSDAY, Feb. 18, 2016 – People with untreated high blood pressure face a much greater risk of a bleeding stroke, but that risk is even higher for blacks and Hispanics, a new study warns. "The average age for a brain hemorrhage [bleeding stroke] is much younger in minorities, especially in African-Americans, so they may suffer more disability earlier in life than others," study author Dr. Kyle Walsh said in an American Stroke Association news release. "It's important to be aware of having high blood pressure in the first place, and once diagnosed, to have it treated appropriately," added Walsh, an assistant professor of emergency medicine at the University of Cincinnati. The study included more than 4,600 white, black and Hispanic Americans who were followed for six years. During that time, half of them suffered a bleeding stroke. Compared to having normal blood pressure, having ... Read more

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Physically Demanding Job, High Blood Pressure a Bad Mix for Women

Posted 15 Feb 2016 by Drugs.com

MONDAY, Feb. 15, 2016 – Having a physically demanding job and high blood pressure may triple a woman's risk of heart disease, a new study contends. Researchers looked at more than 12,000 female nurses in Denmark, and found that those with high blood pressure and highly active jobs were much more likely to develop heart disease than those with normal blood pressure and moderately active jobs. "Previous research has shown that men and women with physically demanding jobs have an increased risk of heart disease," said study author Karen Allesoe, a Ph.D. student at the University of Southern Denmark. "The two risk factors appear to work together, resulting in an even greater incidence of heart disease," Allesoe said. "To our knowledge, this has not been shown before among women." However, the study only showed an association for heart disease risk, not a cause-and-effect relationship. The ... Read more

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New Blood Pressure Guidelines a Danger to Patients: Study

Posted 1 Feb 2016 by Drugs.com

MONDAY, Feb. 1, 2016 – Scientists continue to debate when doctors should prescribe blood pressure medication for older Americans, with a new study saying delayed treatment puts people at greater risk of stroke. For people 60 and older, a U.S. panel in 2014 recommended raising the blood pressure rate at which doctors prescribe treatment from 140 to 150 systolic blood pressure. Systolic blood pressure is the top number in a blood pressure reading. But the new study finds that people with systolic blood pressure of 140 to 149 have a 70 percent increased risk of stroke compared to people with lower blood pressure. "Our study shows the borderline group is probably as risky as having a blood pressure greater than 150, at least for stroke risk," said senior author Dr. Ralph Sacco, chair of neurology at the University of Miami Miller School of Medicine. "This was a controversial move, and I ... Read more

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Newer Blood Pressure Drugs as Good as Older Ones: Study

Posted 4 Jan 2016 by Drugs.com

MONDAY, Jan. 4, 2016 – Newer blood pressure drugs are as safe and effective as older medications, new research suggests. Scientists at the NYU Langone Medical Center in New York City said their findings settle a longstanding debate about which of two types blood-pressure lowering medications studied are better. An analysis of 106 randomized trials involving more than 250,000 patients examined the effects of newer angiotensin receptor blockers (ARBs) and older angiotensin-converting enzyme (ACE) inhibitors. Although ACE inhibitors were developed 10 years earlier, both types of drugs showed similar effects in the analysis, challenging previous findings that suggest ACE inhibitors have greater benefits. According to the new analysis, published online Jan. 4 in the Mayo Clinic Proceedings, the only difference between the medications is that ARBs are more easily tolerated. "There has been ... Read more

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All High-Risk Patients Should Get Blood Pressure Meds: Study

Posted 25 Dec 2015 by Drugs.com

THURSDAY, Dec. 24, 2015 – People known to be at high risk for a heart attack or stroke should be given blood pressure-lowering medications no matter their blood pressure level, new research suggests. Current protocols recommend starting medication when readings reach specific levels. The threshold used to be 130/85 mm Hg. But it was recently shifted to 140/90 mm Hg for non-elderly individuals, and 150/90 for the elderly. The newest and latest call for a new treatment regimen follows a review of 123 studies conducted between 1966 and 2015 that, in total, involved more than 600,000 people. The new report was published in the Dec. 23 issue of The Lancet. "Our findings clearly show that treating blood pressure to a lower level than currently recommended could greatly reduce the incidence of cardiovascular disease and potentially save millions of lives if the treatment was widely ... Read more

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Nearly Half of Americans With High Blood Pressure Not Controlling It: CDC

Posted 12 Nov 2015 by Drugs.com

THURSDAY, Nov. 12, 2015 – Nearly half of Americans with high blood pressure are not properly controlling their condition, increasing their risk of heart attack, stroke and heart disease, a new government report shows. About 47 percent of people with high blood pressure have not brought their numbers to a normal range, through either lifestyle changes or medications, according to data published Nov. 12 from the U.S. Centers for Disease Control and Prevention. That's actually a huge improvement: Back in 1999, more than 68 percent did not have their blood pressure under control, the report found. But it's far short of the federal Healthy People 2020 goal, which calls for fewer than 40 percent of people with high blood pressure to have it uncontrolled by that date, according to the CDC researchers. Experts agreed that the problem is still significant. "I don't think we have enough positive ... Read more

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Heart Patients Worldwide Missing Out on Key Drugs

Posted 20 Oct 2015 by Drugs.com

TUESDAY, Oct. 20, 2015 – Many patients worldwide don't receive generic life-saving heart medicines that are supposedly affordable, a new study reveals. In poor and middle-income nations, these vital medications are often not widely available or are too expensive. In rich countries, as many as half of patients with a history of heart disease or stroke still don't receive them, the researchers found. "Unless both availability and affordability of these medicines are improved, their use is likely to remain low in most of the world," they added. The study is published Oct. 21 in The Lancet. Four classes of heart medicines – aspirin, beta blockers, statins and angiotensin-converting-enzyme (ACE) inhibitors – should be available in 80 percent of communities and used by half of eligible patients by 2025, the World Health Organization says. But compliance currently is far from those targets, ... Read more

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Taking Blood Pressure Drugs at Night May Help Prevent Type 2 Diabetes

Posted 24 Sep 2015 by Drugs.com

WEDNESDAY, Sept. 23, 2015 – In surprising new research, experts report that the timing of taking your blood pressure medicine could have a big impact on whether or not you develop type 2 diabetes. Specifically, the Spanish researchers found that taking blood pressure medications at bedtime rather than waiting until morning may cut the risk of developing type 2 diabetes by more than half. People with high blood pressure tend to suffer from a phenomenon called "non-dipping," in which their blood pressure does not substantially decrease during sleep as it does in healthy people, the researchers said in background information. In an initial study, the investigators found that "non-dippers" tended to have an increased risk of developing type 2 diabetes, compared with people whose blood pressure decreased normally during sleep. A follow-up clinical trial by the same research group revealed ... Read more

Related support groups: High Blood Pressure, Diabetes, Type 2, Lisinopril, Hypertension, Amlodipine, Losartan, Hydrochlorothiazide, Benicar, Diovan, Diltiazem, Norvasc, Verapamil, Ramipril, Cozaar, Enalapril, Nifedipine, Micardis, Valsartan, Cardizem, Benazepril

Resuming Blood Pressure Meds After Surgery Linked to Better Outcomes

Posted 4 Jun 2015 by Drugs.com

THURSDAY, June 4, 2015 – People with high blood pressure who resume taking their medication soon after surgery may have a lower risk of complications and death, a new study suggests. Researchers reviewed information from more than 30,000 patients taking a particular type of high blood pressure medication before surgery. All were taking drugs from a class of medications known as angiotensin receptor blockers (ARBs). These drugs are widely used to treat high blood pressure. None of the surgeries was for heart-related problems, according to the researchers. About one-third of those people didn't restart taking their high blood pressure medication within two days of surgery. The study found this group was linked to a higher risk of death within 30 days compared to people who immediately resumed their medication. The increased risk of death in people who didn't start taking their blood ... Read more

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Blood Pressure Meds Lower Heart, Stroke Risks in Diabetics: Analysis

Posted 10 Feb 2015 by Drugs.com

TUESDAY, Feb. 10, 2015 – A new analysis shows that people with type 2 diabetes are less likely to suffer heart attacks, strokes or die early when they take blood pressure medications – even if they don't actually have high blood pressure. "Stroke, heart attack and other circulatory diseases are the biggest cause of premature death and disability in people with diabetes," said review author Dr. Kazem Rahimi, deputy director with the George Institute for Global Health at the University of Oxford in England. "Any intervention that safely reduces the risk, even if modestly, will have an important effect." According to the American Diabetes Association, an estimated two-thirds of people with diabetes have high blood pressure or take blood pressure medication. Diabetics tend to have higher blood pressure than other people, Rahimi said, and this can lead to health problems. It's clear that ... Read more

Related support groups: High Blood Pressure, Diabetes, Type 2, Lisinopril, Hypertension, Metoprolol, Amlodipine, Atenolol, Ischemic Stroke, Losartan, Heart Attack, Propranolol, Benicar, Diovan, Diltiazem, Bystolic, Norvasc, Carvedilol, Verapamil, Ramipril, Bisoprolol

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