In case you missed it, last year, the American Medical Association, AGAIN, adjusted their guideline for blood pressure:
Adults aged 60 or older should only take blood pressure medication if their blood pressure exceeds 150/90, which sets a higher bar for treatment than the current guideline of 140/90, according to the report, published online Dec. 18 in theJournal of the American Medical Association.
The following chart for blood pressure categories by the American Heart Association, though, apparently remains unchanged:
Blood Pressure Category Systolic Diastolic
mm Hg mmHG
Hypotension less than 90 less than 60
Normal less than 120 less than 80
Prehypertension 120-139 80-89
Hypertension Stage 1 140-159 90-99
Stage 2 160 or higher 100 or higher
Emergency care needed higher than 180 higher than 110
- A SIMPLE SOLUTION FOR HIGH BLOOD PRESSURE
- AN UPDATE ON LOWERING YOUR BLOOD PRESSURE AND LOW DENSITY LIPOPROTEIN
- When my pulse rate is low, my blood pressure is high, and when my pulse rate is high, my blood pressure is low. I must be anomalous because the AMA indicates that THERE IS NO RELATIONSHIP BETWEEN PULSE RATE AND BLOOD PRESSURE. But my biochemical engineering training says that my body simply follows standard unit operations: if my pulse rate is high, then there is sufficient blood, so the pressure can be lower; if my pulse rate is low, my cells at the extremities need more blood, so the pressure is raised. That should be a fundamental relationship...but the American Medical Association disagrees.
- When I'm really hungry, my blood pressure zooms up. According to those AMA guidelines, I should be in the emergency room sometimes, for I've experienced, and survived, a systolic of 180. The AMA says there is a relationship between extreme hunger and high blood pressure:
- After I eat, the pressure usually returns to normal within the hour, but then goes up after a few hours, for my body begins to get hungry again. I definitely should do everything possible to eat on schedule. Small portions throughout the day might be necessary, but I enjoy a fabulous meal, and snacks just increase my weight. I don't eat to live.
- When I first awake, my blood pressure is high, but that is because my pulse rate is low (50 beats/minute) and I'm hungry. Plus, the shock of waking up and the fact that I took my pill 24 hours previously. I think needing to go to the bathroom also increases the pressure. Most strokes and heart attacks occur when you first awake. Here is what the medical profession says:
- In general, when my pulse rate is around 60, the pressure rests at 140-150/85-90.
- When I walk on a golf course at a relatively slow pace, with my pulse at 100 or lower, my pressure stays in the range of 110-120/65-80, lower than my normal, but good. The last time I went to the Ala Wai Golf course:
TIME SYST DIAST PULSE RATE
- Before golf 1442 167 89 74
- End of 1st hole 1503 130 77 94
- End of 5th hole 1556 114 77 100
- End of 7th hole 1623 117 75 84
- End of 9th hole 1650 123 75 96
- Home 1725 147 90 75
- After dinner 1904 141 74 83
- 1/2 hr aft din 1934 134 72 71
- When I ride a golf cart, my pulse rate averages 125/70, with a pulse rate of 67. Again, a lot better than normally.
- However, what is worrisome is that if I walk on a hilly course, or when I need to walk faster, my pulse rate increases to beyond 120, and my blood pressure can fall to 90/60 at a pulse rate of 123. Worse, if I quit at that point, my pulse rate can drop to 100, but the pressure further declines to 80/50 15 minutes later, and is still 85/64 at 103 an hour and a half later. During this period, I feel a bit dizzy when I bend down to pick up a ball, but am otherwise okay and can function normally. Why does this occur? When I stop walking, my pulse rate drops, but not fast enough, for my body does not need all those nutrients, so it reacts by further dropping the blood pressure.
- Here is what happened yesterday on the Ala Wai Golf Course:
- Before golf 1500 136 90 78
- End of 21st hole 1535 108 67 114
- 2nd hole 1548 107 76 108
- 3rd hole 1603 108 74 123
- 4th hole 1614 106 70 124
- 5th hole 1625 98 65 119
- I thought the blood pressure was too low, so I took a ling hing mui lemon.
- 6th hole 1639 96 56 116
- Maybe salt takes half an hour to register, like my meals to cure hunger.
- 7th hole 1654 103 68 116
- 8th hole 1705 108 68 110
- 9th hole 1729 101 68 98
- Home 1610 122 77 95
- At dinner 1901 130 77 84
- 1/2 hour after 1931 98 64 82
- One hour after 2001 140 77 69
- Why did this suddenly rise? Because the pulse rate dropped.
- Two hours after 2101 134 70 60
- Why did the pressure drop? The body is stabilizing at a low pulse rate.
- Clearly, golf is good, for that is when my blood pressure is normal to low.
- To avoid the real lows, when I walk on a course, I need to stroll at a leisurely pace and avoid hills.
- My pulse rate increases into the 6th hole, then tends to stay even or drop. Thus, my blood pressures reaches a minimum on this hole, then usually recovers up a bit.
- While this does not particularly help maintain weight balance, riding a cart on a golf course is a lot better than working on my computer. Golf = 125/70, sitting = 150/90.
- Exercise does help control blood pressure.
- Avoid certain foods:
- Salt is probably bad, but maybe not as terrible as you think. In fact, salt might be an antidote for hypotension. I'm thinking ume the next time on a golf course, for the li hing mui lemon did not have much sodium.
- Consider the DASH (Dietary Approaches to Stop Hypertension) eating plan.
- Avoid processed meats, pizza, Chinese food, frozen TV meals, pickles, most soups and sweetened beverages. Yes, sugar is bad for blood pressure. Hmmm...maybe a can of coke might be safer than that Japanese pickled plum for low blood pressure.
- Don't sit around all day hunched over a computer or watching TV.
- Read the book, Get Up, by James Levine.
- We lose two hours of life for every hour we sit.
- Maybe this is because your blood pressure goes up, but that is my contribution to this discussion.