People are like cars. If you do a few simple things, they go a lot farther with little or no trouble. Drivers understand this. If you own a Honda car, and you keep the tire pressure, oil, and water levels right, you might get 300,000 trouble-free miles from that automobile. If you don’t, it might break down after only 50,000 miles and cost you a lot of money. I just drove 1000 miles on the interstate, and I saw no Hondas smoking on the side of the road.
excellent discussion. It should be said that 95% of high blood pressure is curable. for all practical purposes, ideal blood pressure while on no medication is 110-115/60-70. Above that the risk for the future development of heart attack and stroke begin to increase. Because of the frequency of large arms, I have recommended wrist blood pressure cuffs (all blood pressure cuffs need to be verified for their accuracy) and specifically the Omron brand is the most accurate although any brand can be). Every published article written about the treatment of hypertension starts off discussing "lifestyle" changes first with the implication that high blood pressure is, which it is in fact, essentially curable by changing what people do: reduce percent body fat to a BMI of nearly 23 or percent body fat around 15-20% for men and 18-22% for women. Get rid of salt/sodium in the cooking, bearing in mind that almost all fish-chicken-turkey-meat-eggs are cooked with salt-so limit these profoundly and move towards a more ideally organic unprocessed whole foods plant-based diet which is natively low in sodium and high in both potassium and magnesium. Both of these lower blood pressure if it is elevated. Limit alcohol to less than 1 drink a day. H. Robert Silverstein, MD, FACC
The lifestyle approach is very important. The genes do stay switched on due to epigenetics and small doses of losartan or lisinopril/ spironolactone or eplerenone block the effects of the genes. Too many people want to stop the medication altogether when the pressure returns to normal. There is lots of room for improvement. Only 44% of patients with the diagnosis of hypertension have a pressure reduced to 140/90.
Carvedilol is not appropriate for uncomplicated high blood pressure. It is appropriate if you have high pressure with chest pain, atrial fibrillation, or heart failure along with high blood pressure
excellent discussion. It should be said that 95% of high blood pressure is curable. for all practical purposes, ideal blood pressure while on no medication is 110-115/60-70. Above that the risk for the future development of heart attack and stroke begin to increase. Because of the frequency of large arms, I have recommended wrist blood pressure cuffs (all blood pressure cuffs need to be verified for their accuracy) and specifically the Omron brand is the most accurate although any brand can be). Every published article written about the treatment of hypertension starts off discussing "lifestyle" changes first with the implication that high blood pressure is, which it is in fact, essentially curable by changing what people do: reduce percent body fat to a BMI of nearly 23 or percent body fat around 15-20% for men and 18-22% for women. Get rid of salt/sodium in the cooking, bearing in mind that almost all fish-chicken-turkey-meat-eggs are cooked with salt-so limit these profoundly and move towards a more ideally organic unprocessed whole foods plant-based diet which is natively low in sodium and high in both potassium and magnesium. Both of these lower blood pressure if it is elevated. Limit alcohol to less than 1 drink a day. H. Robert Silverstein, MD, FACC
The lifestyle approach is very important. The genes do stay switched on due to epigenetics and small doses of losartan or lisinopril/ spironolactone or eplerenone block the effects of the genes. Too many people want to stop the medication altogether when the pressure returns to normal. There is lots of room for improvement. Only 44% of patients with the diagnosis of hypertension have a pressure reduced to 140/90.
What about Carvedilol?
Carvedilol is not appropriate for uncomplicated high blood pressure. It is appropriate if you have high pressure with chest pain, atrial fibrillation, or heart failure along with high blood pressure
Excellent article!
Thanks Jean