How To Achieve
Target Blood Pressure
It is not easy for
doctors to bring down the blood pressure of people with
hypertension. It can be difficult to target blood pressure, even with the
help of drugs.
A study conducted in United Kingdom had
shown that the condition of people with high blood
pressure improves more when they monitor their blood
pressure at home instead of at a doctor’s clinic.
Home
monitoring was linked to a greater number of people
achieving target blood pressure.
The study, conducted by a group of doctors from St.
George’s Hospital Medical School in London, reported in
June 2004 in the British Medical Journal and at the
European Society of Hypertension meeting in Paris on
June 2004.
The researcher analyzed at random 18
controlled trials involving a total of 1,359 patients
who monitored their pressure at home, and 1,355 whose
blood pressure was monitored in the healthcare system.
It was found that systolic (upper reading) and diastolic
(lower reading) pressure were both lower in people who
had home blood-pressure monitoring.
After factoring in
various adjustments, systolic and diastolic pressures
were about 2 points lower. The likelihood of having
blood pressure above predetermined targets was also
lower when people measured their blood pressure at home.
The researchers did not agree the difference is due to
the fact that when one goes out of clinic, he or she
relaxes and the corresponding blood pressure is lower.
Instead, it is the procedure of taking care of the blood
pressure throughout the trial that has led to the blood
pressure being lowered when getting to the clinic.
It is not clear why home monitoring makes this
difference, although increased awareness of blood
pressure probably makes people more likely to engage in
healthy lifestyle and so on.
My mother is a good example of getting target blood
pressure most of the time. She has been on the list of
hypertension for more than two decades.
Since she had
survived a stroke 16 years ago, her blood pressure has
always been well controlled until now. She has a habit
of measuring her blood pressure 3 times a day: one in
the morning, one in the afternoon, and one at night
before going to bed.
On a daily basis, she recorded all
the readings of her blood pressure on a booklet without
fail. She will show it to her doctor each time she
visits him. By doing so, the doctor can make adjustment
on the dosage and timing of taking the drugs accordingly
at time when the blood pressure does not hit the target.
The doctor is very impressed about her act and never
forgets to praise her each time he sees her.
Bear in mind that high blood pressure is a risk factor
of heart disease. If people with high blood pressure can
achieve their target level at all times, chances are that
they will be much more healthier and any kind of heart disease will be
greatly reduced.
Former Heart Surgeon Reveals ... How to prevent and even
reverse heart disease - without drugs or surgery. Read
more about Dr Robert's confession at:
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by Ng Peng Hock
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