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June 19, 2008

High normalBP & cardiovascular risk
To Treat or Not to Treat: What to Do for High-Normal BP?

 

Since the U.S. Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure first introduced a new category of blood pressure (BP) — prehypertension — debate has continued regarding just what to do with these patients.

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Post Hoc Analysis
Lowering Lipid Levels and Blood Pressure Both Benefit CHD Patients

 

In one of the seminal studies on risk factor modification — the Multiple Risk Factor Intervention Trial (MRFIT) — more than 350,000 patients were screened and nearly 13,000 enrolled to look at the impact that multifactor intervention would have on mortality from coronary heart disease (CHD).

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Doctors & BP
Masked Hypertension Steals Life from Millions


 

The adverse effects of hypertension are determined by the average level of blood pressure (BP) over long periods of time. It has always been assumed that clinic-measured BP reflects BP over time, yet Dr. Thomas Pickering (Director of Integrative and Behavioral Cardiology Program of the Cardiovascular Institute at Mount Sinai School of Medicine, New York, USA )said there are systematic differences between clinic BP and long-term BP levels — and these differences have serious clinical implications.

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Clinical study
No Regression in LV Mass with Weight Loss:
the MONICA/KORA study

 

Early intervention is critical in young obese individuals because new data suggest that once cardiac remodeling occurs, there is no detectable regression in left ventricular (LV) mass even with weight loss.

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Arterial hypertension
Hypertension and Heightened Waist Circumference Boost Mortality Risk

 

Concern over expanding waistlines is more than just talk — as prevalence of overall obesity is on the rise, so too is the prevalence of abdominal obesity. In the United States alone, more than half of all adults exhibited abdominal obesity in 2003-04. (1) This specific type of obesity (as opposed to general obesity) is more than an issue of personal appearance: greater abdominal adiposity is strongly associated with insulin resistance, dyslipidemia, and systemic inflammation. (2,3)

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Life Perspective
Less Blood Pressure for more Brain

 

In the oral session “Hypertension in the Elderly and Vascular Ageing”, Jan Staessen, MD (University of Leuven, Belgium), analyzed the issuelower blood pressure (BP) in middle-aged subjects and maintaining normotension at older age, when the control of the systolic BP is a prerequisite to prevent stroke and dementia.

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