That's never made sense to me. If it's normal in 1980, then it ought to be normal now. Are we healthier collectively now in America to rationalize that? Certainly not! More fatties than ever! Far more in fact! So much so it's a disgrace!
The guidelines for the American Heart Association/American College of Cardiology (AHA/ACC) changed in 2017 due to to a single (but long) study, called the SPRINT study, which led to the current AHA/ACC guidelines. The study found fewer cardiovascular events with the stricter targets. But this study is not without controversy. It did not consider adverse affects of aggressively lowering blood pressure, such as risk of falling in older populations and the risk of lowering blood flow to critical organs in older patients. Furthermore, the study used very strict protocols for measuring blood pressure which are rarely executed or practical in an actual doctor's office, and the study excluded certain categories of participants. For these reasons, the American Academy of Family Physicians have adopted a somewhat different set of guidelines, and many, including my own PCP, will target 140/90 as a target treatment goal. Different parts of the world also have different guidelines, although some, like the European Cardiologist guidelines, seem to be evolving as well. I personally take high blood pressure seriously, and have adopted many of the recommendations provided in this channel. However, I also note with some skepticism that the pharmaceutical companies must be thrilled with these changes.
I measure my BP 3 times a day, and have done so (and recorded) for the last 7 months. I started out with an average of 156/88 and it has gotten consistently better. Currently, when I see a BP reading over 120/80 I highlight that reading and try to determine the reason for the increase. My concern is occasionally (for about a week) my BP will increase to 127/86 and then go back down. My diet is consistent, and I take beet root, magnesium, and potassium supplements to regulate my requirements. It just concerns me that I will occasionally see a reading of over 140/92 (for no apparent reason). I do breathing exercises daily and walk for an hour each morning. I'm 72 and have no physical ailments and watch what I eat and drink. It just puzzles me why my BP will occasionally spike for no apparent reason. Stress may be the issue, but I try to keep this to a minimum also.
Systolic is the pushing out number, diastolic is the recoil number. High Systolic low diastolic = wide pulse pressure = stiff arteries. Low Systolic high diastolic = narrow pulse pressure, maybe to do with the heart
Goodmorning Dr Story, So I've noticed that when im dehydrated it tends to spike my diastolic, so I'll drink a few glasses of water and then about an hour later I'll check it again it drops down to low 80s
My diastolic has always been on the low side - it is my systolic that fluctuates and I have a low heart rate (they say it is probably because I was a runner and I am physically fit). What I cannot get answers to, it seems, is if the systolic goes high with a low heart rate, am I in danger. Thanks for your videos - you explain things well.
My wife likes chiropractics and asks you, Dr. Story= (she has scoliosis)-what type firmness bed would you recommend? Firm or medium firm. She gets back aches while sleeping more & more? Thank you, Sir!!👍😊👍
As a sporty. healthy fit guy, do you find personally I mean, that having a home BP gadget is useful for your outlook, or is it simply fluff? I mean I know some people with high blood pressure who've let themselves go with weight or some condition quite likely would need it, but I'm not directing this at them. I also know that doctors are prone to recommend doctoring and check ups automatically, and all that jazz. But if you can separate yourself individually from that mindset for a minute, and just see yourself as Joe Regular Guy who's into physical fitness and eating right, is it something you'd still see as a practical benefit, or again just fluff?
They’re pretty cheap to buy nowadays. I’d get one, you get used to using it and you’re less likely to get the white coat syndrome at the doctors. I take mine just after waking up.
@@richardcollins586 The idea for me is that I never see doctors. It's been like that since my parents stopped having control over it. The only time I ever see a blood pressure read is for giving blood. So thus with smart watches, or GPS, or screens in the car, or cell phones, and all that. I was getting at a perspective where self-indulgent analysis seems unneeded, where the individual knows he's got super solid health going on. I didn't get through the China Virus boondoggle by wearing those medical masks or by getting injections or by being a pod, yet I never got sick, even a little. So I was asking for Adam's perspective without the lab coat on that is.
@@SSandz-u5g I've never seen anyone in any kind of a clinical-like setting use anything but a manual pump and dial. Two months ago giving blood, that's what they used and had.
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My blood pressure at home is 115/65. In the doctor’s office my blood pressure is 150/100. Maybe going to the doctor is endangering my health.
That's a massive difference! I've suspected there'd be some difference on average, but never that much!
White coat syndrome
@@richardcollins586 Yeah, but that still seems entirely excessive doesn't it?
Maybe ur machine is faulty
lmbo same here bro it's just white coat syndrome I panic wverytime I go
Thanks for explaining this in a manner that is clear and easy to understand. Have a great day!
Glad it was helpful!
120/80 was considered normal for folks in the 1980’s. I wonder what the change in “range”, accomplishes? Better health, or more prescription drugs?
That's never made sense to me. If it's normal in 1980, then it ought to be normal now. Are we healthier collectively now in America to rationalize that? Certainly not! More fatties than ever! Far more in fact! So much so it's a disgrace!
The guidelines for the American Heart Association/American College of Cardiology (AHA/ACC) changed in 2017 due to to a single (but long) study, called the SPRINT study, which led to the current AHA/ACC guidelines. The study found fewer cardiovascular events with the stricter targets. But this study is not without controversy. It did not consider adverse affects of aggressively lowering blood pressure, such as risk of falling in older populations and the risk of lowering blood flow to critical organs in older patients. Furthermore, the study used very strict protocols for measuring blood pressure which are rarely executed or practical in an actual doctor's office, and the study excluded certain categories of participants. For these reasons, the American Academy of Family Physicians have adopted a somewhat different set of guidelines, and many, including my own PCP, will target 140/90 as a target treatment goal. Different parts of the world also have different guidelines, although some, like the European Cardiologist guidelines, seem to be evolving as well. I personally take high blood pressure seriously, and have adopted many of the recommendations provided in this channel. However, I also note with some skepticism that the pharmaceutical companies must be thrilled with these changes.
@@robannmateja5000 Good run down on it.
Great video Doc , very informative 👍
Thank you! ❤
I measure my BP 3 times a day, and have done so (and recorded) for the last 7 months. I started out with an average of 156/88 and it has gotten consistently better. Currently, when I see a BP reading over 120/80 I highlight that reading and try to determine the reason for the increase. My concern is occasionally (for about a week) my BP will increase to 127/86 and then go back down. My diet is consistent, and I take beet root, magnesium, and potassium supplements to regulate my requirements. It just concerns me that I will occasionally see a reading of over 140/92 (for no apparent reason). I do breathing exercises daily and walk for an hour each morning. I'm 72 and have no physical ailments and watch what I eat and drink. It just puzzles me why my BP will occasionally spike for no apparent reason. Stress may be the issue, but I try to keep this to a minimum also.
I am similar except my diastolic never even reaches 80
Systolic is the pushing out number, diastolic is the recoil number. High Systolic low diastolic = wide pulse pressure = stiff arteries.
Low Systolic high diastolic = narrow pulse pressure, maybe to do with the heart
Thank you
What about low blood pressure? Mine is usually low
Goodmorning Dr Story, So I've noticed that when im dehydrated it tends to spike my diastolic, so I'll drink a few glasses of water and then about an hour later I'll check it again it drops down to low 80s
My diastolic has always been on the low side - it is my systolic that fluctuates and I have a low heart rate (they say it is probably because I was a runner and I am physically fit). What I cannot get answers to, it seems, is if the systolic goes high with a low heart rate, am I in danger.
Thanks for your videos - you explain things well.
@@kelliea5729 not in danger. Most likely stress or recent exertion
My wife likes chiropractics and asks you, Dr. Story= (she has scoliosis)-what type firmness bed would you recommend? Firm or medium firm. She gets back aches while sleeping more & more? Thank you, Sir!!👍😊👍
Whatever she feels the best with. There's no "science" to knowing which bed is best with a medical condition.
No one ever talks about low bp..mine is 103/60.Often lower.
@@wizzyletsgetbusy6878 I’ve talked about it many times. Have you watched those videos of mine? There are many.
As a sporty. healthy fit guy, do you find personally I mean, that having a home BP gadget is useful for your outlook, or is it simply fluff? I mean I know some people with high blood pressure who've let themselves go with weight or some condition quite likely would need it, but I'm not directing this at them. I also know that doctors are prone to recommend doctoring and check ups automatically, and all that jazz. But if you can separate yourself individually from that mindset for a minute, and just see yourself as Joe Regular Guy who's into physical fitness and eating right, is it something you'd still see as a practical benefit, or again just fluff?
They’re pretty cheap to buy nowadays. I’d get one, you get used to using it and you’re less likely to get the white coat syndrome at the doctors. I take mine just after waking up.
@@richardcollins586 The idea for me is that I never see doctors. It's been like that since my parents stopped having control over it. The only time I ever see a blood pressure read is for giving blood. So thus with smart watches, or GPS, or screens in the car, or cell phones, and all that. I was getting at a perspective where self-indulgent analysis seems unneeded, where the individual knows he's got super solid health going on. I didn't get through the China Virus boondoggle by wearing those medical masks or by getting injections or by being a pod, yet I never got sick, even a little. So I was asking for Adam's perspective without the lab coat on that is.
@@richardcollins586 I had a whole clarification reply to this. Got deleted by some thing or some one. So irritating.
I purchased an OMRON to measure BP. It has been helpful to self-monitor. Purchased the OMRON based on seeing it used in the doctors office. 😂
@@SSandz-u5g I've never seen anyone in any kind of a clinical-like setting use anything but a manual pump and dial. Two months ago giving blood, that's what they used and had.