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Blood pressure goals may need to change with age
- By: Howard E. LeWine, MD,
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Trained to work hard to get our patients to lower their blood pressure, no matter how old they are or how frail. This study is prompting me to rethink this approach.
many medications are not harmful for older adult only, but it’s for young or adult people as well. in fact, side effects of every drugs always affect body system. if we use vary of drugs, we can get to overdoses and lead to new diseases
We fully agree with Dr LeWine. Our ZhGS formulas for optimal BP determination based on theoretical model showed the same dependence between SBP,DBP,MAP,PP and age.
I am 83 and have an unusual BP problem. I take my pressure 2 – 3 times a day and it seams it is on a cycle. I wear a pacemaker since I have bradycardia and a slow heart rate. My morning pressure averages 150 – 160 over 90 – 100 with heart rate of 60 – 85. However at 5 to 6 PM my BP often tanks to 81/58 with 79 HR or thereabouts. I stopped taking a water pill and eat 1/2 grapefruit at night which seems to work equally as well in avoiding body fluid buildup. I stopped taking BP medication when my BP started dropping so low. My pressure seems to go up at night and down during the day – right the reverse of most and during the day it is often normal around 12 PM. So weird isn’t it?
As a rule your blood pressure is usually higher in the morning. This is because your body is preparing you for wakening up in the morning by raising your blood pressure. This happens to me as well and by the middle of the day it is back to normal.
If you keep your cell membranes more fluid through a good Omega-6 to Omega-3 ratio ( 1:1) will this result in less stiff blood vessels? If so, would it be a good thing to measure your Omega ratio? I have only found a few providers of such tests. Can anyone give me hints to where to find a good reliable test of fatty acids?
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