New tips on blood pressure that are a little too high


By Robert Preidt
HealthDay Reporter

THURSDAY, April 29, 2021 (HealthDay News) – Making Healthy Lifestyle Changes Doesn’t Slightly Reduce Patients high blood pressure within six months, doctors should consider prescribing medication, according to a new scientific statement from the American Heart Association.

The recommendation is for people with untreated high blood pressure in phase 1 (130-139 / 80-89 mm Hg) who have a low risk of heart attack or stroke within ten years. A low risk means less than 10%.

The statement updates the 2017 American College of Cardiology / American Heart Association blood pressure management guidelines, which first suggest that these people make healthy lifestyle changes and then check their health. blood pressure again in six months.

The new guideline applies to nearly 10% of American adults with high blood pressure.

“There are no treatment recommendations in [the 2017] guidelines for patients with relatively low short-term risk heart disease when blood pressure does not fall below 130 mm Hg after six months of recommended lifestyle changes, ”Dr. Daniel Jones, chairman of the group, said in an AHA press release.


“That statement fills that gap,” noted Jones, a professor and dean emeritus at the University of Mississippi School of Medicine and former president of the Cardiac Association.

Many people with stage 1 high blood pressure are adults under the age of 40.

“We know that people with blood pressure below 130/80 mm Hg have fewer cardiovascular risk markers, such as an increase in coronary calcium, an enlargement of the heart, or the buildup of fat deposits called atherosclerosis in the arteries of the neck. There is strong evidence that treat high blood pressure it saves lives by reducing the risk of heart attack and stroke, ”said Jones.

They include changes in healthy lifestyle to lower blood pressure weight loss/ control, regular exercise, limitation of salt intake, potentiation potassium intake, no to smoke and limiting alcohol use. It is also recommended to follow the DASH (Dietary Approaches to Stop Hypertension) diet. This is a very intense feeding plan fruits and vegetables combined with low-fat and low-fat dairy products saturated fat and total fat.

It’s also important that patients “check their blood pressure regularly to monitor their progress. If they don’t achieve an average daily systolic blood pressure of less than 130 mm Hg, it’s probably time to start a conversation with your doctor about the next practical steps , which may include adding medications to control blood pressure, “Jones said.


The statement was published on April 29 in the journal Hypertension. It was also said that in young adults who started taking medications to lower blood pressure during childhood, doctors should consider the original indication to start treatment (usually to prevent organ damage due to high blood pressure). long-term high blood pressure) when assessing the need to continue medication and lifestyle. changes.

More information

The U.S. National Heart, Lung, and Blood Institute has more advantages high blood pressure.

SOURCE: American Heart Association, press release, April 29, 2021

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