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February 9th, 2011
08:45 AM ET
What should you do if your blood pressure skyrockets?Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the American Cancer Society. Question asked by Nate of Irvine, California: What should you do if your blood pressure skyrockets from 130 to 159 and switches constantly? Expert answer: Your question provides a great opportunity to review blood pressure issues. Hypertension is a common medical problem in the U.S. It is estimated that one-third of adults have hypertension. Many who have it are unaware that they have it. Long-term, prolonged high blood pressure puts added stress on the heart and arteries. A person with years of uncontrolled high blood pressure often has an enlarged heart and thickened walls of the arteries. Prolonged uncontrolled hypertension can lead to stroke, congestive heart failure, kidney failure, blindness and other illnesses. Hypertension is commonly seen with diabetes in what is termed "metabolic syndrome." The combination can increase risk of stroke, heart failure, peripheral vascular disease, kidney failure and blindness. Risk factors for hypertension include being overweight or obese, a sedentary lifestyle, a diet high in salt and excess alcohol intake. Some families also tend to have a history of hypertension, indicating that there is a genetic component as well as an environmental component. Blood pressure is most commonly measured with a blood pressure cuff placed around the upper arm. It is given as two numbers that are the measure of the weight of a tube of mercury. The units are millimeters mercury or mmHg. The higher number, or the systolic, is the pressure in the area measured when the heart beats or contracts, and the lower number, or diastolic, is the pressure when the heart relaxes after the heartbeat. Blood pressure changes throughout the day. When a person is exercising or under stress, it can go up. When someone is relaxing, it can go down. Similarly. blood pressure can vary when a person is lying in bed, sitting or standing. Most people occasionally feel a bit light-headed for a moment when they stand up. This is because of the blood pressure dropping when standing. Symptoms are relieved a few seconds later when the pressure rises to more normal levels. Before 2003, hypertension was defined as a systolic blood pressure greater than 140 mmHg or a diastolic greater than 90mmHg. Studies have shown a group of people who really need goal pressure below this value, so in 2003, The Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure issued stricter definitions. Averaging two or more properly measured readings at each of two or more visits, a normal blood pressure is a systolic less than 120 mmHg and a diastolic less than 80 mmHg. A category called "Pre-hypertension" is defined as a systolic of 120 to 139 mmHg or a diastolic of 80 to 89 mmHg. Stage 1 or early hypertension is defined as a systolic of 140 to 159 mmHg or a diastolic of 90 to 99 mmHg. State 2 or more severe hypertension is a systolic greater than or equal to 160 or a diastolic of greater than or equal to 100 mmHg. Malignant hypertension is defined as a diastolic blood pressure of 120 mmHg or having evidence of acute organ damage such as swelling in the back of the eye. These patients are usually treated to get the pressure down quickly. For asymptomatic patients who have no evidence of acute damage to the eyes, brain, heart or kidney, there is no proven benefit from rapid reduction in blood pressure. It may even be harmful. Long-term effective treatment of hypertension can reduce a person's risk of a number of conditions. The treatment involves behavioral and diet changes as well as medications. This can take some time and patience. I encourage you to work with your doctor and give the treatment time to show that it is working. Treatment is done in a stepped approach. The physicians will counsel exercise and dietary changes and especially reduction of salt intake. Then, there are initial oral blood pressure medicines. For those who do not have an acceptable response, or who have side effects, there are second- and third-level treatments. The process of finding a treatment can take some months. It is imperative that a regimen be found with which the patient is comfortable. Some form of high blood pressure treatment is likely to continue for the rest of the patient's life. |
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
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to be able to a YouGov Survey last year, One in five encounters in the UK now start online, With UK singles giving almost 3.4bn annually to the economy in their visit a partner. which include 5.8m people over 45 living alone and some 1.7m women over 65 who are widowed in great britain, online dating site for the over 50s has become big business. Matt Connolly conceived the idea of the website to dispel the stigma and solve a problem presented to him around the Sunday lunch table. His single mother asked him why he couldn't help her find her knight in shining armour, And so he virtually went about it.
After stepping away from his digital agency and exploring business ideas which were both scalable and had a level of integrity, Matt tells me he started to research the world of dating for the over 50s in a serious way.
He signed himself up to a number of "senior citizen dating" Sites and interviewed hundreds of single each gender. What he found was that even though this is one of the fastest growing demographics of men and women, Most would never consider international dating without their child's encouragement.
Having proven edge being certain there was both a need and commercial value Matt went about building a team to assist him with the creation of the site.
The US dating services industry has performed well over the last five years. earning gains averaged 3.5pc per year over the five year period in order to $2bn (1.25bn) using 2012, With consumers increasingly turning to the www to meet prospective dates.
America hosts dating giants such as eHarmony, Who have has been substantial since 2004 and exceeded the $1bn in revenue mark in 2009. They estimate that 542 people get married every day in the USA having met on their website, Accounting for almost 5pc of new US marriages. Now working with in over 150 countries, They have noted the desire to connect specific groups of people and offer a senior singles section.
Mysinglefriend, established in 2004 by Sarah Beeny, Uses peer endorsement as a key a part of the site's appeal. Friends introduce their friends to prospective partners by way of a written profile and whilst candidates can't amend the write up they are given, It does let a right of reply. MSF has surrounding 200,000 users and a core market of 25 36 year olds. to be able to Hitwise data, The profiles of the top website visitors to MSF are Bright Young Things and Urban Cool. Perhaps not what the over 50s would like.
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