Dr. Chauncey W. Crandall, author of Dr. Crandall’s Heart Health Report newsletter, is chief of the Cardiac Transplant Program at the world-renowned Palm Beach Cardiovascular Clinic in Palm Beach Gardens, Fla. He practices interventional, vascular, and transplant cardiology. Dr. Crandall received his post-graduate training at Yale University School of Medicine, where he also completed three years of research in the Cardiovascular Surgery Division. Dr. Crandall regularly lectures nationally and internationally on preventive cardiology, cardiology healthcare of the elderly, healing, interventional cardiology, and heart transplants. Known as the “Christian physician,” Dr. Crandall has been heralded for his values and message of hope to all his heart patients.

Tags: blood pressure | guidelines | heart attack | stroke

Don't Relax About Blood Pressure

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Tuesday, 13 March 2018 04:36 PM Current | Bio | Archive

The government may have been wrong when it loosened blood pressure targets.

Traditionally, the guidelines had defined “normal” blood pressure as a systolic pressure (the upper number) of less than 120 mmHg and a diastolic pressure (the lower number) of less than 80 mmHg, or 120/80. High blood pressure was defined as 140/90 or higher.

But the government recommended relaxing the guidelines for older people, putting them on drugs only if their blood pressure was at least 150/90.

One study involved about 8,000 patients age 60 and older who were divided into three groups: those with systolic blood pressure of less than 140 mmHg (57 percent); those with systolic blood pressure of 140 mmHg to less than 150 mmHg (24 percent) and those with systolic blood pressure of 150 mmHg or greater (42 percent).

Those who achieved a systolic blood pressure of less than 140 mmHg had the lowest death rate from heart attack and stroke.

The study also showed that patients who followed the government’s more relaxed targets were more likely to die.

In my 30 years of experience, I have found that the lower target numbers work well.

Therefore, I recommend working with your doctor to reach those numbers as your individual blood pressure goal.

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Dr-Crandall
Those who achieved a systolic blood pressure of less than 140 mmHg had the lowest death rate from heart attack and stroke.
blood pressure, guidelines, heart attack, stroke
207
2018-36-13
Tuesday, 13 March 2018 04:36 PM
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