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Treasured Social Butterfly
Posts: 18,054
Registered: ‎12-25-2011

Re: How do you feel about the changing of Blood Pressure guidelines?

Message 1 of 23 (643 Views)

@c134940c - I find that conventional doctors are much too quick to prescribe medication, without really investigating a person's lifestyle at all. I know people on meds for high BP & cholesterol, whose diet is terrible .. yet the doctor never asked about it at all!


Registered on Online Community since 2007!
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Posts: 1
Registered: ‎11-06-2016

Re: How do you feel about the changing of Blood Pressure guidelines?

Message 2 of 23 (661 Views)

You probably won't read this,  as this is an old discussion. However I felt the need to reply to your comment. I would first argue that most family physicians or internists aren't receiving monetary kickbacks from pharmaceutical companies, and aren't putting you on meds just to make a buck.

 

Secondly, the blood pressure guidlines are determined scientifically through research, not just arbitrarily drawn out of thin air. There are longitudinal studies done with large numbers of subjects that track outcomes (stroke, heart attack, death, etc) over time. We can use the scienctific method to determine which demographic (old vs young, on treatment vs not, high vs low blood pressure) is more likely to suffer these negative outcomes. We then determine our blood pressure, and other guidelines based on this data. 

 

There is some controversy in the medical community over these guidelines, as different groups argue over which outcomes we should be concerned with. Some argue that we should be treating hypertension to reduce the risk of death over a certain amount of time. Some argue that we should be treating hypertension to reduce the risk of softer end-points, such as non-fatal heart attack or stroke, that are not leathal but can still reduce a patient's quality of life. 

 

There is no argument as to IF we should be treating hypertension. That argument was settled many years ago. And, if you'd seen someone who had suffered a massive stroke or heart attack due to their uncontrolled blood pressure, I'm sure you would agree.

 

I would encourage you to do read over the reasearch publications that helped to determine our current BP guidelines and form your own opinion on them. If this is not something that you can readily do, then I would encourage you to trust your phyisician to act as your proxy in making your healthcare decisions. He/she is an expert in their field, and likely has your best interests at heart. If you do not believe that they do, then find a physician you can trust, as your life may well depend on it.

 

Best to you.

Social Butterfly
Posts: 90
Registered: ‎08-17-2015

Re: How do you feel about the changing of Blood Pressure guidelines?

Message 3 of 23 (2,342 Views)

I didn't know the British did b.p testing this way. Smart !  When I go to the dr. mine is always 'high'. The nurse says, 'It's a little high today', & I say 'that's because I'm here'.

Leave it at that.

Like with cholestral meds, the 'drug lords' want everyone on meds. Why not ? They benefit, the doctors benefit ( kickbacks for prescribing).

It's a win-win for them.

Sandee2
Social Butterfly
Posts: 90
Registered: ‎08-17-2015

Re: How do you feel about the changing of Blood Pressure guidelines?

Message 4 of 23 (2,349 Views)

mv2669 :  In describing your husbands problems with B.P. meds, you could be 'diagnosing' my husbands troubles. He's also on a blood thinner, ( scary ) !, a colitis med, cholestrol lowering drugs, blood pressure meds (2). And pain relievers , when needed. ( probably pain caused by the over-dose of drugs ). He gets his "care" from the V.A. I'm sure there are caring individuals at these facilities, but too many 'candy men' doling out lethal drugs like M & M's. I forgot...........he also takes a heart med.

 

How much is too much, & how do you determine 'too much', too often ? We can't afford to go to specialists or we would. I'm glad your husband took matters into his own hands & is better off for it !

Sandee2
Info Seeker
Posts: 1
Registered: ‎11-18-2015

Re: How do you feel about the changing of Blood Pressure guidelines?

Message 5 of 23 (3,739 Views)

I am not happy at all with the new guidelines!  My father died of a stroke and I have been aware of my blood pressure and until September of this year my blood pressure was controlled with medication to below 120/80, From October 1st, my doctor gave me new medication and informed me of the new guidelines (I am 71 years old) Now my blood pressure in the morning runs 153/93 and by evening runs 167/101. At my doctors office I might read 150/90 so the doctor says my medication is fine and want to reduce the dosage. I think the doctors oppinion adds to my blood pressure issures.

Bronze Conversationalist
Posts: 27
Registered: ‎05-18-2009

Re: How do you feel about the changing of Blood Pressure guidelines?

Message 6 of 23 (4,209 Views)

In my opinion, changing the range means someone is not happy with the way the war on terror is turning out, and they need to rethink how to reduce the size of the population by another means....

Info Seeker
Posts: 1
Registered: ‎01-08-2014

Re: How do you feel about the changing of Blood Pressure guidelines?

Message 7 of 23 (4,441 Views)
Of Course! To obtain and "average" you must have some with higher and lower. My husband suffered greatly with blood pressure lowering drugs. They turned him into an "old man" over night. He had the "cough". He had muscle pain throughout his body. He had no energy. He had "high blood" pressure when he weighed 165# and ran track in high school. He has since gone off all meds and he is back to the man he was eight years ago before the drugs. He is 74 years old, now again as active as he was at 64 and feels much better.
The drug companies need to sell drugs, the docs need to prescribe drugs to the detriment of people.
Who decided that 120/80 was the "norm". Who decided that 150 or even 160/90 was "bad" for all people. We need to start questioning the docs before we just let them put us on medications that do more harm than good.

We will take our chances...stroke, heart attack? But at least while we are alive we can really live and not be relegated to pain and sitting in a chair because the meds make us feel so bad that we don't want to live. We know our bodies better than the docs or the drug companies....we have lived in them for 74 and 72 years and we will do it our way...not the way that makes more money for the drug companies.
Info Seeker
Posts: 1
Registered: ‎09-08-2013

Re: How do you feel about the changing of Blood Pressure guidelines?

Message 8 of 23 (4,446 Views)

I have high blood pressure.  I believe the guidelines should be changed.  My doctor has wants me to take 9 high blood pressure pills a day.  I think that is entirely too many and more dangerous than changing the guidelines.  I do not take 9 pills a day.

Info Seeker
Posts: 1
Registered: ‎09-29-2009

Re: How do you feel about the changing of Blood Pressure guidelines?

Message 9 of 23 (4,634 Views)
the Gov't want to cut cost and 2nd they do not want old people around long .Yes sometime I feel better when I miss a round of meds ,but down the road it catches up with you other problem pop up . Guide line 140/90 is norm and they would like you to be less ,some people do not make that .
Info Seeker
Posts: 2
Registered: ‎04-14-2015

Re: How do you feel about the changing of Blood Pressure guidelines?

Message 10 of 23 (4,746 Views)







rm56756478 wrote:

I think that current experience as seen by medical professionals should be used to determine the appropriate levels of BP, opinions shouldn't.   I take my BP fairly regularly and it varies from day to day as well as hour to hour, examples (dyistolic) decreasing by 20% from one day to the next and in a different case where it increased by 26% within another day.  My concern is that if I see the MD at one of those specific times, what is my true BP, does it  warrant medication?  


Americans are behind on blood pressure monitoring. In Britain  you are required to wear a 24 hour blood pressure monitor to determine your blood pressure readings. The 'white coat syndrome' of high blood pressure readings in the doctors office are notoriously wrong. They don't take  them properly.

A proper resting BP is taken after 10 minutes of quiet rest. In the doctors office they march you in and take your BP and it is high (wonder why?) so the Brits wear  24 hour monitor and this is important because you may have nocturnal hypertension which arrises during your sleep. It is little understood and holds a poor prognosis. My BP is pretty normal in the day but very high during my sleep (I check it if I awake), I would suggest a 24 hour monitor (hard to find) before taking BP medicine just like the British.