POST Online Media Lite Edition


NEWLY REPORTED COVID-19 CASES IN LAST 24h (2.25.2021, 10:34am CET, WHO):   U.S. 71,778    India 16,738    Brazil 62,715    Russia 11,749    The United Kingdom 8,489    France 19,775    Spain 3,184    Italy 13,299    Turkey 9,107    Germany 8,007    Columbia 3,926    Argentina 3,596    Mexico 8,634    Poland 12,147    Iran 8,270    Ukraine 5,850    Indonesia 7,533    Peru 6,740    Czechia 15,861    The Netherlands 3,846    Canada 2,752    Chile 2,555    Romania 3,382    Iraq 4,306    Sweden 2,530    Pakistan 1,196    Philippines 1,555    Austria 1,668    Serbia 3,257    Japan 1,086    Hungary 2,855    United Arab Emirates 3,102    Jordan 4,024    Lebanon 3,513    Slovakia 3,547    Malaysia 3,545    Ecuador 2,999    Bolivia 1,204    Bulgaria 1,800    Palestine 1,391    Kuwait 1,001    Greece 2,111    Moldova 1,133    Paraguay 1,132    Albania 1,021    Estonia 1,068    China 28    Singapore 7    New Zealand 3    Australia 2    South Korea 396   

New U.S. blood pressure guidelines found to be harmful for some patients

Staff Writer |
Feinstein Institute for Medical Research researcher Joseph Diamond, MD, and colleagues investigated the impact of new, stricter guidelines issued in November 2017 that redefine high blood pressure.

Article continues below

They found that while patients at higher risk for cardiovascular disease benefited from the stricter blood pressure goals, those with lower risk had more harm than benefit.

In fact, it is possible that up to 10 million people receive unnecessarily-aggressive blood pressure treatments under these guidelines.

The 2017 guidelines were written by a panel of 21 scientists and health experts who reviewed more than 900 published studies, and issued by the American Heart Association, American College of Cardiology and nine other professional health organizations.

The threshold for hypertension is now a blood pressure reading of 130 over 80 mm Hg, rather than the previous 140 over 90. That translates into 46 percent of American adults who are now considered hypertensive, up from 32 percent.

"After looking at data, my colleagues and I recommend using a different model for patients with high blood pressure than what was most recently recommended," said Dr. Diamond, director of Nuclear Cardiology at Long Island Jewish Medical Center and Fellow of the American Society of Hypertension.

"Identifying patients by degree of future cardiovascular risk identifies those who will most benefit from intensive blood pressure treatment goals. We do not feel that aggressive blood pressure lowering is warranted in all individuals."

Using the 10-year cardiovascular disease risk, the researchers found that aggressive treatment of patients with a risk greater than or equal to 18.2 percent would result in more benefit than harm, while those with a risk of less than that would fare better under a standard blood pressure management approach.

The 2017 guidelines suggest treating patients with a greater than 10 percent risk.

Dr. Diamond collaborated with Robert A Phillips, Jiaqiong Xu, Leif E. Peterson and Ryan M. Arnold from Houston Methodist, and Adam E. Schussheim from Bridgeport Hospital, Yale-New Haven Health System.

What to read next

Blood pressure lowering treatment should be used very carefully
Even small rise in blood pressure can harm black patients
Pharma industry happy: High blood pressure now 130, not 140