How not to get High blood pressure (Hypertension)!

Individuals detected to have mildly elevated blood pressure may be able to maintain normal blood pressure for the next 15 years without any medications!

That’s what the HARVEST trial says. The data was presented at the 2013 International Conference on Prehypertension and Cardiometabolic Syndrome.

Young adults (1012 in number with a mean age of 33 years) were diagnosed with mildly elevated blood pressure (grade 1 hypertension). They were followed up for the next 15 years.

It was observed that  in 198 patients, the blood pressure fell to within normal range within the first few months and they managed to remain normotensive (normal blood pressure) over next 15 years.

The patients whose blood pressure fell and remained normal had a  slightly lower body-mass index (BMI), lower coffee consumption, lower triglycerides, and higher physical-activity levels than the ones in whom the blood pressure remained higher!

Again a trial highlighting the importance of body weight and exercise to avoid diseases like diabetes and blood pressure.

Fifteen years later, hypertension free!

That’s great! Isn’t it? So start walking and eat healthy!

via Remaining normotensive: Insights from HARVEST | theheart.org.

Fall in cardiac risk in diabetes with multiple risk-factor control

New study throws light on reducing Cardiovascular risk in patients with Diabetes!

It is a general feeling among diabetic patients and their physicians that controlling their sugar levels and their glycosylated hemoglobin (HbA1C) levels in the normal range would suffice to reduce the cardiovascular risk.

However, a recent study   including 26,636 diabetic patients with longitudinal blood pressure, LDL-cholesterol, and HbA1c measurements followed for a mean of 5.6 years proves that it would not suffice!

These patients were analysed and followed up over a period of 5.6 years and their first cardiovascular hospitalization rates were studied. The analysis got published online January 24, 2013 in the Journal of General Internal Medicine.

It was found that diabetic patients who kept their blood pressure, LDL cholesterol and glycosylated hemoglobin levels all under control showed a 2.5 fold drop in the risk of cardiovascular-disease hospitalization over 6 years, compared with those who controlled none of the 3 risk factors.

Most of the observed benefit came from control of blood pressure and LDL-cholesterol as per guidelines. 

Patients who had none of the three markers under control had the highest hospitalization rates of 18.2  per 1000 person-years. 

And, patients with all three parameters controlled had the lowest rates, at 6.1 per 1000 person-years.

So, Diabetics Beware! Pay equal attention to  your blood pressure and LDL-Cholesterol levels to reduce your cardiac risk!

Take care!

via Kaiser: Fall in CV risk in diabetes with multiple risk-factor control | theheart.org.