Are many hypertensive patients being treated with more medication than they need? The recent JNC8 report said yes, but for the wrong reason! It said that in treating people over the age of 60, we should ease up and accept a systolic pressure (the upper number) up to 150 and not bother to keep it below the longstanding target of 140.
In a recent blog I discussed why I and many other hypertension specialists disagree with this recommended change. We’ve achieved a substantial reduction in cardiovascular events, particularly stroke, aiming at the traditional target of 140. There is insufficient evidence to abandon that goal. It does not constitute…
Taking blood pressure medication at bedtime rather than on waking halves the risk of events such as heart attack and stroke, a major study has revealed. Experts say the findings could potentially transform the way such medications are prescribed, but questions remain, not least why taking the medication at night has such a profound effect.
They found that the risk of severe Covid-19 illness and death was reduced for patients with high blood pressure who were taking Angiotensin-Converting Enzyme inhibitors (ACEi) or Angiotensin Receptor Blockers (ARB).
It is safe to continue taking your blood-pressure medications, researchers said.
Hypertension affects one in four adults and is usually treated with medication, even though lifestyle changes can reduce blood pressure. Here's what you need to know.
Physicians need to be more cautious about adding new blood pressure medicines to treat hypertension in hospitalized patients. Rising blood pressures in such circumstances might simply be an artifact of acute illness.
A suggested treatment protocol for moderate hypertension of >20 mm Hg above goal is:
An ACE inhibitor or an ARB with a diuretic or a dihydropyridine (DHP) calcium channel blocker (such as amlodipine, felodipine, or nifedipine) combination. Start with a low dose and titrate upward.
It created panic for millions of people who take heart medications every day, but experts say the health risk from quitting is much higher.
The fact that there are so many drugs to choose from means at least two things. First, it means there is no “best” drug for hypertension, that is, there is no drug that works well for almost everyone without causing unacceptable adverse effects. If there were, drug companies would have stopped their efforts to develop new antihypertensive drugs long ago—and the list of approved drugs would be much shorter.
Second, with so many drugs to choose from, as long as you and your doctor are patient and persistent, it is extremely likely that an effective and well-tolerated treatment regimen will be found for your hypertension.
The presence of a medical professional can cause blood pressure to skyrocket – or hypertension to go undetected. New research hopes to increase accuracy and improve heart health
The US Food and Drug Administration is recalling some medicines commonly used to help control blood pressure because batches of it may contain a chemical that’s used to induce cancer in lab rats.
The recall was issued after it was discovered that a manufacturing change at China’s Zhejiang Huahai Pharmaceutical Co. inadvertently exposed one ingredient, valsartan, to an organic chemical called N-nitrosodimethylamine (NDMA). That chemical is considered a probable carcinogen, and can be toxic for the liver and other organs
Compelling findings suggest widely available medications cut the risk of death among older Americans by nearly a quarter.
Based on results of an observational study published earlier this week in The BMJ, angiotensin-converting-enzyme (ACE) inhibitors were associated with an increased risk of lung cancer, compared with a similar, but distinct type of blood pressure medication known as angiotensin-receptor blockers (ARBs).
Some drugs designed to affect vascular tone can also have cascading effects in the brain. Whether these unintended outcomes are helpful or harmful remains an open question.
Many natural compounds in food, as well as certain nutraceutical supplements, vitamins, antioxidants, or minerals, can mimic drugs, functioning in a similar fashion to a specific class of antihypertensive medications. However, they may be less potent and take longer to work than the antihypertensive drug. When used in combination with other nutrients and nutraceutical supplements, though, the antihypertensive effect can be magnified.
Results likely to spur debate over whether guidelines for treating hypertension should be changed to a lower target.
An independent analysis finds no real benefit for people with mild hypertension.
When it comes to reducing high blood pressure, I consider diet, exercise, nutritional supplements, stress reduction, detoxification, and earthing to be first-line treatment. I’ve seen tremendous results from these natural approaches. However, I also use pharmacological drugs when needed.
This Web Focus is a collection of review articles that introduce different studies and its suggestions on white coat Hypertension. They are all specially-solicited for this review series.
For all its life-saving potential, a blood pressure reading isn’t necessarily as straightforward as you’d think.
Are you on more medication than you need? Here are a few clues that suggest that you might be. If any of them ring true, you shouldn’t make changes on your own, but consider discussing these questions with your physician.
“Finding the right combination of medications for uncontrolled hypertension may require some trial and error,” says hypertension specialist George Thomas, MD.
In his work with patients, Dr. Thomas investigates possible explanations for difficulty in controlling blood pressures. These can include...
There are five main classes of medicines that are used to lower blood pressure. There are various types and brands of medicine in each class.
There are multiple classes of antihypertensive medications used for the treatment of HTN; the most recommended classes used as first-line for treatment are: Thiazide-type diuretics, Calcium channel blockers, Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs).