Deshpande, N. V.

Saklayen, M. G.

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HowWhyWhatBlood Pressure Control: What Matters?National High Blood Pressure GuidelinesSince 1977, 8 different reports that have served as as national guidelines for care. The most recent guidelines were released in November 2017 by the American College of Cardiology and the American Heart Association.Normal blood pressure is below 120/80 The term "elevated blood pressure" has a systolic range of 120-129 with a diastolic under 80Hypertension is ≥ 130/80Pharmacologic treatment is recommended for those with 10-year cardiovascular risk of10% or greater or blood pressure ≥ 140/90Focus on lifestyle changes for all patients These six lifestyle changes can have measurable impacts: Weight Loss – expect 1 mmHg systolic decrease for every 1 kg (2.2 lb) weight lossHealthier Diet (like DASH)– expect up to 11 mmHg decreaseMore Physical Activity – 5-8 mmHg decrease from aerobic, 4-5 mmHg fromresistance Reduced Sodium intake – 5-7 mmHg decreaseModeration of Alcohol intake – 4 mmHg decreaseTobacco Cessation – 3-4 mmHg decrease even in 1 week References:  Saklayen MG, Deshpande NV.  Timeline of History of Hypertension Treatment.  Front Cardiovasc Med. 2016 Feb 23;3:3. doi: 10.3389/fcvm.2016.00003. eCollection 2016. Review. Kotchen TA.; Developing Hypertension Guidelines: An Evolving Process, Am J of Hypertension, 1 June 2014 27; 6:765–772. https://doi.org/10.1093/ajh/hpt298 Detailed summary of the guidelines: https://healthmetrics.heart.org/wp-content/uploads/2017/11/Detailed-Summary.pdf Brief highlights of the guidelines: https://healthmetrics.heart.org/wp.../2017/11/Highlights-from-the-2017-Guideline.pdf The new guidelinesadvise lower systolicand diastolic bloodpressure thresholdsfor hypertensiondiagnosis

Blood Pressure Control: What Matters? - HTN Guidelines

https://scholars.unh.edu/cgi/viewcontent.cgi?article=1103&amp;context=ihpp

Blood Pressure Control: What Matters? - HTN Guidelines

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