New Advice for Blood Pressure That’s a Bit Too High

by akoloy

By Robert Preidt
HealthDay Reporter

THURSDAY, April 29, 2021 (HealthDay News) — If making wholesome life-style modifications would not decrease a affected person’s barely high blood pressure inside six months, medical doctors ought to then think about prescribing medicine, a brand new American Heart Association scientific assertion advises.

The advice is for individuals with untreated stage 1 hypertension (130-139/80-89 mm Hg) who’ve a low danger of a heart attack or stroke inside 10 years. Low danger means lower than 10%.

The assertion updates the 2017 American College of Cardiology/American Heart Association Blood Pressure Management Guidelines, which urged first having these individuals make wholesome life-style modifications after which checking their blood pressure once more in six months.

The new steerage applies to almost 10% of American adults with hypertension.

“There are no treatment recommendations in [the 2017] guidelines for patients who are at relatively low short-term risk of heart disease when blood pressure does not drop below 130 mm Hg after six months of recommended lifestyle changes,” assertion writing group chair Dr. Daniel Jones stated in an AHA information launch.


“This statement fills that gap,” famous Jones, professor and dean emeritus on the University of Mississippi School of Medicine, and a previous president of the guts affiliation.

Many individuals with stage 1 hypertension are adults youthful than 40.

“We know that people with blood pressure lower than 130/80 mm Hg have fewer markers of cardiovascular risk like elevated coronary calcium, enlargement of the heart, or buildup of fatty deposits called atherosclerosis in arteries of the neck. There is strong evidence that treating high blood pressure saves lives by reducing the risks for heart attack and stroke,” Jones stated.

Healthy life-style modifications to decrease blood strain embrace weight loss/management, common train, limiting salt consumption, boosting potassium consumption, not smoking and limiting alcohol use. Also really useful is following the Dietary Approaches to Stop Hypertension (DASH) food plan. This is an consuming plan excessive in fruits and vegetables mixed with low-fat dairy merchandise, and low in saturated fat and whole fats.

It’s additionally essential for sufferers to “check their blood pressure regularly to monitor progress. If they don’t achieve average daily systolic blood pressure less than 130 mm Hg, it’s probably time to initiate a conversation with their doctor about practical next steps, which may include adding medication, to manage their blood pressure,” Jones stated.


The assertion was printed April 29 within the journal Hypertension. It additionally stated that in younger adults who began taking blood pressure-lowering medicines throughout childhood, medical doctors ought to think about the unique indication for starting remedy (often to stop organ injury from long-term hypertension) in assessing the necessity to proceed medicine and life-style modifications.

More info

The U.S. National Heart, Lung, and Blood Institute has extra on high blood pressure.

SOURCE: American Heart Association, information launch, April 29, 2021

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