New Hypertension GuidelinesDecember 1, 2017
New Hypertension Guidelines were released recently to assist physicians and patients with more clarification to a new blood pressure classification system as well as updating the hypertension (HTN) treatment recommendations, with a clear emphasis on lifestyle approaches.
These changes will affect physician’s treatment to patients. For millions of patients who have been labeled as prehypertension, their diagnose will change to full on hypertension. Currently, approximately 75 million US adults (1 in 3 adults) have hypertension and only about half of them have their condition under control. This will increase physician’s role in assisting patients to achieve a healthier lifestyle (Metagenics Institute, 2017).
There are several lifestyle factors that contribute to high blood pressure and many can be modified. For example, overweight and obesity increases the pressure required to move the blood around the body. Patients and physicians should work together to create a weight loss plan that fits your lifestyle and provides the patient with the best results to reduce their hypertension. Smoking tobacco and excessive alcohol intake can cause hypertension as well by increasing the risk of developing cardiovascular disease. Both smoking and drinking have been known to cause dramatic affects on heart health and blood pressure levels. Smoking causes an immediate spike in blood pressure and can raise systolic blood pressure levels but as much as 4-millimeters of mercury; the nicotine inn tobacco sparks the nervous system to release chemicals that can constrict blood vessels and contribute to high blood pressure. Drinking is okay in moderation. Research shows that cutting back on alcohol consumption may be able to lower systolic blood pressure by levels of 3 millimeters of mercury.
Let’s compare the old levels of blood pressure to the new levels and discuss what the difference truly means to a patient. First let’s define systolic and diastolic to better understand what blood pressure readings mean. Systolic is the top number that refers to the amount of pressure in the arteries during the heart muscles contraction. Diastolic is the bottom number which refers to blood pressure when the heart muscle is between beats. In 2003, the Seventh Joint National Committee defined blood pressure cutoffs are:
• Stage I HTN: systolic BP 140-159 mmHg or diastolic BP 90-99 mm Hg
• Stage II HTN: systolic ≥ 160 mmHg or diastolic ≥ 100
The newest guideline from ACC/AHA keeps the normal BP as 2003 Seventh Joint National Committee, however, it eliminates the prehypertension category and recommends a new cutoff for high blood pressure, as stated below:
• Normal: systolic <120 mmHg and diastolic <80 mmHg • Elevated: systolic 120-129 mmHg and diastolic <80 mmHg • HTN Stage I: systolic 130-139 mmHg or diastolic 80-89 mmHg • HTN Stage II: systolic ≥140 mmHg or diastolic ≥90 mmHg • Hypertensive crisis: systolic >180 mmHg and/or diastolic >120 mmHg (guideline requires urgent medication changes or immediate hospitalization)
These new guidelines aren’t there just to diagnose patients but came with updated treatments to physicians to assist their patients in changing their lifestyle to a healthier one with setting goals in lowering their blood pressure to avoid medication unless necessary.
If hypertension, or high blood pressure, is left untreated this will cause a host of issues for the patient. This is the most common type of cardiovascular disease. When a patient has high blood pressure it requires the heart to work harder by forcing the blood to push against the walls of our arteries at an elevated level. High blood pressure is the leading cause of strokes and heart attacks. It will also increase the risk of heart and kidney failure and hardening of the arteries, a condition called atherosclerosis.
For help diagnosing high blood pressure, visit Quick Care Med Walk-In and Urgent Care’s in Citrus, Marion, or Alachua Counties. Our providers are knowledgeable in the new changes to the guidelines to assist patients in their diagnoses of high blood pressure.
Metagenics Institute. (2017, November 14). New Hypertension Guidelines Released by ACC/AHA. Retrieved November 22, 2017, from http://healthcareinstituteforclinicalnutrition.com/clinical-relevance/new-accaha-hypertension-definition-is-conservative/
The entire staff was very caring. I had my toddler with me and she was a bit rowdy and they gave her crayons with coloring pages and stickers and even a lollipop to help keep her occupied.
My son scribbled on a piece of paper and handed it to one of the woman in the front, saying that is say how his ears hurt, she accepted it and posted it on the artwork wall, when the PA came in to see him he was made to feel like a big deal because he had known about the paper. This is a place where the staff really cares about their patients and go the extra mile for them
Have been there a few times and hey have always been very fast, kind, courteous and welcoming. Always very helpful especially the front desk. The employee Heather helped me with pharmacy, paperwork and everything I needed help with. Only quick care I go too because of her.
I absolutely love our nurse Tiffany. She made our visit so comfortable. I had two very sick little boys who did not want to go to the Dr. She made the at ease in an instant and she took such great care of them. This was at the Quick care on 441 in Ocala Fl. I'll go back to this one because of her. And recommended to all my friends and family. Thanks so much!
A Big THANK YOU, to the Staff at Quick Care Med, in Dunnellon!! My Husband was seen, for a couple different ailments, during his visit,, and the Two Practitioners who worked with Him, were AWESOME! They treated my Big, 200 pound, 6 ft. "Baby",, with Respect, Dignity, and Professionalism, and just the right amount of Calming Firmness!! Lol... he's afraid of Needles, and Doctor Offices, in general and I must say, that GWEN, & DEBBIE, were very good to him! Prices for services rendered, were ve
Great sweet people
I was there yesterday and I've never felt so shocked. The 3 girls I interacted with were the most pleasant and friendly caregivers I've ever dealt with. Idr the rep's name, but she was quick and prompt at taking all my info and with minimal Qs (kinda hard to answer when I have a cold), then Alexis took over. Very sympathetic, nice, and helpful. Then the physician saw me and was charismatic and very funny. Trying to keep me in good spirits. It was like all 3 were happy to be at their posts and to
Anytime, we've ever been there, all of the physicians are very caring and helpful, they don't rush or make you feel unimportant... I wish we could have them as our GP
Very friendly,professional. Very caring of patients.Victoria was excellent. Took time to listen and made you feel comfortable.
We had Zaib Kahn as the provider and NEVER have I seen such a good bedside manner, as they call it! AND he personally called this a.m. to ask how my husband is feeling! (The pharmacy was closed when we left the ofc., and they asked us to allow until 11 to pick up the RXs, but that's NOT YOUR fault ;D I'm thrilled w/ Mr. Kahn's service and may well use your clinic for ALL my medical needs!!!! THANK YOU
Professional staff, caring and organized. Prompt service for DOT related visits.
The absolute BEST! Everyone here is so nice! We've had to come in a few times & they've always taken great care of us. We're usually out within 20-30 min. All the girls up front are very nice & helpful (you don't find that too often), so is the girl that takes your vitals. Dr B is the amazing! He takes his time to listen to what's wrong & always has a big smile. If we could have this office as our primary care location we would