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2020 m. spalio 20 d., antradienis

Human blood pressure must be stable throughout life

 "As systolic blood pressure rose above 90 mm, the risk of damage to coronary arteries rose along with it. Systolic blood pressure represents the pressure within arteries when the heart pumps (as opposed to diastolic blood pressure, the lower smaller number, when the heart rests).

"Heart experts have long known that people in traditional nonindustrial societies typically maintain systolic blood pressures in the low 90s throughout life. Unlike typical Americans, their blood pressure does not rise with age. Rather, it seems, the increase in blood pressure most common among Americans as they age into mid- and late adulthood is an artifact of our sedentary lifestyles and diets too rich in calories and high in sodium, all of which result in stiff, narrowed arteries that result in high blood pressure."

For every 10 mm increase in systolic blood pressure, the risk of calcium deposits and cardiovascular events rose accordingly. Compared with people with systolic pressures of 90 to 99 mm, those with pressures of 120 to 129 mm were 4.58 times more likely to have experienced a cardiovascular event.

People with high blood pressure, Dr. Whelton said, “are also more likely to have higher cholesterol and blood glucose levels. The ideal strategy would focus on all risk factors — blood cholesterol, blood sugar and blood pressure. Maintaining a healthful diet, exercising, not smoking and consuming alcohol only in moderation would improve all the risk factors for cardiovascular disease.”

When I asked why doctors don’t put more emphasis on maintaining youthful levels of blood pressure, Dr. Jones said that in the 1960s medical schools taught that blood pressure should rise with age to assure an adequate blood supply to the brain.

“Only in recent decades has it been accepted that it’s actually better for the brain, kidneys and heart to keep blood pressure down as people age,” he said."

 


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