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


By Robert Preidt
HealthDay Reporter

THURSDAY, April 29, 2021 (HealthDay Information) — If making wholesome way of life modifications does not decrease a affected person’s barely high blood pressure inside six months, docs ought to then contemplate prescribing treatment, a brand new American Coronary heart Affiliation scientific assertion advises.

The advice is for folks 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 School of Cardiology/American Coronary heart Affiliation Blood Stress Administration Tips, which recommended first having these folks make wholesome way of life modifications after which checking their blood pressure once more in six months.

The brand new steering applies to just about 10% of American adults with hypertension.

“There are not any therapy suggestions in [the 2017] tips for sufferers who’re at comparatively low short-term danger of heart disease when blood strain doesn’t drop beneath 130 mm Hg after six months of advisable way of life modifications,” assertion writing group chair Dr. Daniel Jones stated in an AHA information launch.


“This assertion fills that hole,” famous Jones, professor and dean emeritus on the College of Mississippi College of Medication, and a previous president of the guts affiliation.

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

“We all know that folks with blood strain decrease than 130/80 mm Hg have fewer markers of cardiovascular danger like elevated coronary calcium, enlargement of the guts, or buildup of fatty deposits known as atherosclerosis in arteries of the neck. There may be robust proof that treating high blood pressure saves lives by lowering the dangers for coronary heart assault and stroke,” Jones stated.

Wholesome way of life modifications to decrease blood strain embrace weight loss/management, common train, limiting salt consumption, boosting potassium consumption, not smoking and limiting alcohol use. Additionally advisable is following the Dietary Approaches to Cease Hypertension (DASH) weight-reduction plan. That is an consuming plan excessive in fruits and vegetables mixed with low-fat dairy merchandise, and low in saturated fat and whole fats.

It is also essential for sufferers to “test their blood strain recurrently to watch progress. If they do not obtain common each day systolic blood strain lower than 130 mm Hg, it is most likely time to provoke a dialog with their physician about sensible subsequent steps, which can embrace including treatment, to handle their blood strain,” Jones stated.


The assertion was revealed April 29 within the journal Hypertension. It additionally stated that in younger adults who began taking blood pressure-lowering medicines throughout childhood, docs ought to contemplate the unique indication for starting therapy (normally to stop organ harm from long-term hypertension) in assessing the necessity to proceed treatment and way of life modifications.

Extra data

The U.S. Nationwide Coronary heart, Lung, and Blood Institute has extra on high blood pressure.

SOURCE: American Coronary heart Affiliation, information launch, April 29, 2021

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