Why Blood Pressure Goes Up And Down – Many of our patients are frustrated because blood pressure is not the same with every dose. One day it will be high the next day. I wonder what they are doing wrong. Is there anything they can do to stop it? Does everyone’s blood pressure change from day to day?
Your blood pressure is a reflection of many different factors. It is movement, fluid and salt intake; stress level; alcohol, It can be affected by drugs or the timing of your medications. That is, the time of day; day of the week Depending on your activity or stress level, your blood pressure may be different today. Minute to minute!
Why Blood Pressure Goes Up And Down
If you are taking medication to control your blood pressure. It’s important to have an idea that your healthcare provider is not only measuring your blood pressure in their office, but also doing your blood pressure daily or weekly. .
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Remember that your health care plays an important role, especially when it comes to blood pressure control. Find a CHI Health primary care provider today to connect and meet your goals.
Janet Huenink is a native Nebraskan who earned a bachelor’s degree in nursing from UNMC and a bachelor’s degree from Nebraska Wesleyan University. She then earned a master’s degree in nursing from UNMC in Omaha, specializing in adult health. She is certified as a Geriatric Nurse Practitioner through the ANCC. She has practiced at the Nebraska Heart Institute since 1997, working with cardiologists to treat adults with heart failure. She is currently assigned primarily to the Nebraska Heart Hospital in Lincoln.
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High Blood Pressure (hypertension)
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If you need local health information from a trusted source. Sign up for the CHI Health Better You eNewsletter. Blog Beverly Hills Institute for Cardiology & Preventive Medicine Blog Dr. Cardiologist for new high blood pressure guidelines
If you haven’t heard of it, that’s great news. The American Heart Association, in partnership with the American College of Cardiology (ACC), has just changed the primary guideline for defining hypertension (high blood pressure) in the United States for the first time since 2003.
Blood pressure (the first number in your blood pressure reading, “above the line”) between 130 and 139 millimeters of mercury;
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Blood pressure (the second number in your blood pressure reading, “below the line”) measures between 80 and 89 millimeters of mercury; You will officially have stage 1 hypertension. Before making this change, We don’t consider you to have stage 1 hypertension until your blood pressure (BP) is 140/90 or higher. My blood pressures in the 120/70-130/80 range were “normal” but are now considered “hypertensive” or “prehypertensive” under the new guidelines. The impact of this revision means that more than 46 percent of the country needs treatment for hypertension, an increase of 14 percent.
After studying the 481-page guide, including tips on diagnosing and treating high blood pressure, This is my perception.
1. Guidelines are rigid and impractical. “Normal” is now defined as less than 120/80; This means that even a well-meaning doctor and a carefully followed patient can have more than that, making it difficult to maintain a consistent target range; Especially for the middle-aged or middle-aged. Elderly. – Citizen patients, Especially for patients who self-determine lifestyle interventions.
2. Guidelines are intended to motivate: high blood pressure is heart disease; stroke Significantly increases the risk of kidney disease and cognitive decline/dementia. By lowering the target parameters, patients will have to work harder to modify their lifestyle (diet and exercise) and medication adherence to reduce these risks. Many of my patients don’t want to go on medication, and these guidelines state that if you are at low risk, you should first be given the opportunity to “make healthy lifestyle choices” and reevaluated in 3-6 months. . If you are really at high risk. You need to follow your medication to lower your blood pressure.
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The study’s authors know you’re not always on the mark; So did I. But the point is to start.
Obesity is the incidence in this country of more than 33% of the population. And with it comes metabolic syndrome. Hypertension is part of the “deadly triad” of metabolic syndrome. Criteria for metabolic syndrome include the following three: excess abdominal fat (“flat tire” or “beer belly”); high triglycerides; a decrease in high-density lipoprotein (HDL or “good cholesterol”); High blood pressure and fasting hyperglycemia (high blood glucose levels). (NCEP Expert Panel. JAMA 2001;285:2486).
The Centers for Disease Control and Prevention found an overall age-adjusted prevalence rate of NCEP-defined metabolic syndrome of 24% in Americans age 20 and older (Ford et al. JAMA 2002;287:356). That’s because a combination of these factors leads to type 2 diabetes, which is more prevalent than ever.
For this reason, Similar to the recommended blood pressure reassessment; Endocrinologists have lowered the normal fasting blood sugar from 114 in the past to now below 100. Because the eyes Too much glucose damage (or more accurately glycated hemoglobin – aka A1C -) in targeting organs like the kidneys and nerves) the eyes; Because we now know how to target organs like the kidneys and nerves. Sooner than you think, this damage starts in the blood vessels – … you guessed it – high blood pressure.
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In addition, If you already have diabetes, keeping your blood pressure under control is really a matter of life and death, says Peter Libby, MD, Mallinckrodt Professor of Medicine. Harvard Medical School and chief of cardiovascular medicine at Brigham and Women’s Hospital, Boston. “The most significant threat to life in people with diabetes is macrovascular disease…besides aggressive glucose management. There is also treatment to control hypertension and dyslipidemia [literally meaning ‘abnormal lipid levels”. It’s a priority to have your cholesterol (HDL/LDL) and triglyceride levels out of whack.”
3. Studies with guidelines may include inaccurate blood pressure data. In the studies, patients were asked to monitor their blood pressure at home. I don’t believe they used the correct blood pressure measurement techniques. This may be due to the lack of accurate reporting of their blood pressure. In my experience, I have not seen many patients do this correctly. for example, If you don’t have back support, the diastolic pressure can increase by 6 points. In addition, Crossing your legs can increase systolic pressure by 2 to 8 points. In addition, emotion movement Your blood pressure is constantly changing due to body position, etc., so you need to take multiple readings throughout the day. I am impressed that these guidelines have devoted many pages to educating doctors on how to properly measure their patients’ BP.
Based on the new AHA guidelines, we have developed a simple mnemonic using the letters “BP” to help you get an accurate reading. You can use it whether you have your blood pressure taken at the doctor’s office or take your blood pressure at home. see Below:
Also, be aware that your blood pressure may rise once you get to the doctor’s office. This is called “white coat hypertension”. It has been found that people fear being in the doctor’s office and their BP increases proportionally as their adrenaline levels rise. To avoid this problem, I often recommend that my patients monitor their BP at home. To eliminate this problem, I often advise my patients to monitor their BP at home. Buy a quality machine and adjust it. Always follow the above tip to get an accurate reading. Keeping a journal is very helpful.
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4. These guidelines lead to a significant increase in the prescription of antihypertensive drugs. I don’t believe these BP reduction goals will actually do anything substantial except increase the burden of blood pressure medications and their side effects.
5. Blind adherence may do more harm than good for patients over 60. Several recent studies have shown that lowering BP to lower targets may actually harm patients over 60 years of age. One such large trial, SPRINT (Systolic Blood Pressure Intervention Trial), was conducted earlier this year.
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