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Hypertension complications

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  • Hypertension complications

    Here is a video by Dr. Campbell who has made a large series of videos for training doctors. This particular video I found to be very good explaining hypertension complications in a way that most people can readily understand.
    https://www.youtube.com/watch?v=8R8i...PZ1Q-U&index=1

  • #2
    Very nice posting.

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    • #3
      Nice Video!
      For a cardiac issue person, what's the B.P level above which its marked as hypertension?
      My B.P in the morning is 120/75, but during office hours goes to 130/80. After exercising I have seen it to 140/85. Is that normal or is it HT?

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      • #4
        Here is what the 2017 AMA guidance says on hypertension, “Based on the latest available science, the American Heart Association (AHA)/American College of Cardiology (ACC) guideline now considers high blood pressure as measurements persistently at or above 130 systolic or 80 diastolic". Earlier guidance on hypertension had a higher systolic number, 140/80 I believe. In trying to control hypertension in an older population, the doctors have to be careful in how they apply the new guidance because forcing the blood pressure down to the optimum 120/70 might well cause some of those older people to not get enough blood to their brains. All indications are that 120/70 should be the numbers we should try for in the population in general.

        Having said that a person's blood pressure varies throughout the day. To my understanding it generally peaks around 10-11 AM given a general night-time sleeping routine. I don't think it unusual for a person's blood pressure to fluctuate by 10 mmHg or so at times during the day. Exercise might also temporarily increase blood pressure, but the result should be a longer-term lowering of blood pressure if the exercise routine is sufficient and done often enough. It is possible to over-exercise though, and so balance is needed to get the hormetic benefits of exercise. If I was otherwise healthy enough for a vigorous exercise routine, I wouldn't worry about a very short-term elevation to 140/85. If that persists for any length of time, then there might be a problem. Do you jump off the exercise machine and take your blood pressure?
        Last edited by Tom; 06-04-2019, 11:54 PM.

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        • #5
          Originally posted by Tom View Post
          If I was otherwise healthy enough for a vigorous exercise routine, I wouldn't worry about a very short-term elevation to 140/85. If that persists for any length of time, then there might be a problem. Do you jump off the exercise machine and take your blood pressure?
          I climbed two flights of stairs and measured to 145/85. And few times after a cal with my boss - it went high.
          But you answered my question, in the mornings its around 120-130/70-80. And it goes high intermittently or after a stress moment.
          Guess I will watch for few more months before I resume the Ramipril!

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