Diabetes, Heart and Cardiovascular Diseases News Chronicle.  Diabetes, Cardiovascular and Heart Diseases
 Article 290
    Published on January 16, 2018

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American Heart Association guidelines say systolic reading of 130 mm Hg is the new high blood pressure reading

The American College of Cardiology (ACC) and the American Heart Association (AHA) have announced new blood pressure guidelines at the Scientific Sessions conference - 2017 held in Anaheim, California, the United States. The guidelines redefined 130/80 mm Hg or above blood pressure reading as high blood pressure. Previously, a reading equal to above 140/90 mm Hg was considered as high blood pressure. High blood pressure is a risk factor to cardiovascular and heart (or cardiac) diseases.

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This ACC/AHA guidelines were written along with 11 other professional health organizations. Scientists and health experts have reviewed more than 900 published studies in writing these new guidelines.

With this update, nearly 46 percent of the adults in the United States are with high blood pressure but a small increase in the number of adults under antihypertensive medication.

Lead author says an individual should try to reduce blood pressure without medications or drugs once blood pressure reaches 130/80 mm Hg as heart complications may start at those levels too. Patients should reduce high blood pressure with healthy lifestyle measures such as.

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  • Eating healthy diet
  • Reducing salt or sodium consumption to less than 1500 mg per day
  • Avoid alcohol consumption or limit consumption to two drinks or fewer for men and one drink or less for women
  • No tobacco usage
  • Reduce stress
  • Increase potassium consumption to 3,500 mg per day
  • Recommended to follow DASH (Dietary Approaches to Stop Hypertension) pattern diet
  • Minimum of 30 minutes of exercise per day for three times in a week to lose weight or reduce body mass index (BMI)
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Lead author of the updated guidelines says starting of damage to blood vessels and risk to cardiovascular diseases doubles when blood pressure reaches 130/80 mm Hg when compared with risk when blood pressure reading was at 120/80 mm Hg. The new guidelines also removed usage of prehypertension term. Earlier, prehypertension term refers to a condition when blood pressure reading is between 120 and 139 mm Hg. New guidelines defined blood pressure categories as.

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New Blood
pressure category
Systolic reading
(mm Hg)
  Diastolic reading
(mm Hg)
Normal Less than 120 And Less than 80
Elevated Between 120 and 129 And Less than 80
High blood pressure (Hypertension) Stage 1 Between 130 and 139 Or Between 80 and 89
High blood pressure (Hypertension) Stage 2 At least 140 Or At least 90
Hypertensive crisis (Emergency care needed) Over 180 Or Over 120
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Guidelines have recommended medication for individuals with Stage I hypertension. Guidelines also suggest blood pressure reading should be an average of at least two to three readings taken on at least two different occasions.

They recommended "ASCVD Risk Estimator Plus" formula for the calculation of 10-years ASCVD (Atherosclerotic Cardiovascular Disease) risk. The formula uses following factors in calculating 10-year ASCVD risk.

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  • Age of an individual
  • Race
  • Sex
  • Whether under aspirin therapy
  • Whether under statin treatment
  • LDL cholesterol levels
  • HDL cholesterol levels
  • Total cholesterol levels
  • Systolic BP levels
  • Diabetes history
  • Treatment for hypertension
  • Tobacco usage

American Heart Association guideline says 130 mm Hg systolic is the new high blood pressure and for ASCVD Risk.
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Lead author of the guidelines was Paul K. Whelton, MB, MD, MSc, FACC, an American physician-scientist, Tulane University School of Public Health and Tropical Medicine, New Orleans, the United States. The study findings were published November 13, 2017, in the American Heart Association journal - Hypertension. Title of the article was "New ACC/AHA High Blood Pressure Guidelines Lower Definition of Hypertension."

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