{"id":4202,"date":"2020-01-23T06:09:58","date_gmt":"2020-01-23T06:09:58","guid":{"rendered":"http:\/\/www.mymedicplus.com\/news\/?p=4202"},"modified":"2021-03-31T00:39:15","modified_gmt":"2021-03-30T19:09:15","slug":"yo-yo-blood-pressure-numbers-in-youth-a-bad-sign-for-health-later","status":"publish","type":"post","link":"https:\/\/www.mymedicplus.com\/blog\/yo-yo-blood-pressure-numbers-in-youth-a-bad-sign-for-health-later\/","title":{"rendered":"‘Yo-Yo’ Blood Pressure Numbers in Youth a Bad Sign for Health Later"},"content":{"rendered":"\n

Source: usnews.com<\/p>\n

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WEDNESDAY, Jan. 22, 2020 (HealthDay News) — If your blood pressure numbers swing from low to high and back again in your 20s, that could bode ill for heart health in middle age, new research shows.<\/p>\n<\/div>\n

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In fact, every 4 mm Hg spike in systolic blood pressure — the top number in a reading — during young adulthood was tied to a 15% higher risk for heart disease in midlife, the research team found.<\/p>\n<\/div>\n

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Study lead author Dr. Yuichiro Yano believes the findings have implications for how routine blood pressure checks are interpreted by doctors.<\/p>\n<\/div>\n

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“If a patient comes in with one reading in December and a significantly lower reading in January, the average might be within the range that would appear normal,” said Yano, an assistant professor of family medicine at Duke University in Durham, N.C.<\/p>\n<\/div>\n

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“But is that difference associated with health outcomes in later life?” he said in a Duke news release. “That’s the question we sought to answer in this study, and it turns out the answer is yes.”<\/p>\n<\/div>\n

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In their study, the researchers gathered data on nearly 3,400 people who enrolled in a heart disease study in the mid-1980s.<\/p>\n<\/div>\n

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The patients’ blood pressure was taken several times over the following 10 years, and after a decade the patients averaged about 35 years of age.<\/p>\n<\/div>\n

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By then, researchers identified which patients had variations in systolic blood pressure and then tracked their heart conditions for another 20 years, when they averaged 55 years of age.<\/p>\n<\/div>\n

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Over those years, 181 participants died and 162 had cardiovascular illness or events such as heart disease, heart failure, stroke, mini-stroke, or a stent placed to unblock arteries.<\/p>\n<\/div>\n

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The Duke team found that blood pressure fluctuations in youth did seem correlated with higher odds for heart trouble decades later. That finding held even when the researchers factored in a patient’s average blood pressure during young adulthood.<\/p>\n<\/div>\n

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Current guidelines that direct doctors on whether or not to prescribe blood pressure medicines “ignore variability in blood pressure readings,” according to Yano.<\/p>\n<\/div>\n

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“I think there has been a belief that variability is a chance phenomenon,” he said, “but this research indicates maybe not. Variability matters.”<\/p>\n<\/div>\n

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Two cardiologists unconnected to the new research agreed that yo-yo blood pressure numbers could be worth watching.<\/p>\n<\/div>\n

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Dr. Guy Mintz directs cardiovascular health at the Sandra Atlas Bass Heart Hospital in Manhasset, N.Y. He said that younger patients, especially, often downplay spikes in blood pressure.<\/p>\n<\/div>\n

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“Many patients come into the office and are found to have an elevated blood pressure, but before the doctor can say hypertension, the patients have their script: ‘I had coffee this morning, I rushed here, I was aggravated at work or I had ethnic salty food last night,'” Mintz said.<\/p>\n

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But “the message from this study is powerful and important,” he said. “Clinicians cannot accept patient excuses, and must be more vigilant in treating hypertension at an earlier age.”<\/p>\n<\/div>\n

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Those treatment aren’t just medications, Mintz added, but include lifestyle changes such as cutting back on salt, losing excess pounds and getting into an aerobic exercise routine.<\/p>\n<\/div>\n

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“Only when lifestyle intervention does not get the patient to the blood pressure goal should medication be considered,” Mintz said.<\/p>\n<\/div>\n

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Dr. Satjit Bhusri is a cardiologist at Lenox Hill Hospital in New York City. Reading over the findings, he said there are physiological reasons why swings in blood pressure could speed heart disease.<\/p>\n<\/div>\n

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“When blood pressures swing from very high to very low, our organs are not able to respond and function in a steady state,” Bhusri explained. “As a result they harden, the arteries stiffen, and the heart muscle can even fail. It is as if a fire hose is turning on and shutting off repeatedly.”<\/p>\n<\/div>\n<\/div>\n\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":4203,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[40],"tags":[273,740,298,486],"class_list":["post-4202","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-heart-care","tag-health","tag-heart-attacks","tag-high-blood-pressure","tag-stroke"],"yoast_head":"\n'Yo-Yo' Blood Pressure Numbers in Youth a Bad Sign for Health Later - MyMedicPlus<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mymedicplus.com\/blog\/yo-yo-blood-pressure-numbers-in-youth-a-bad-sign-for-health-later\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"'Yo-Yo' Blood Pressure Numbers in Youth a Bad Sign for Health Later - 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