Thursday, October 29, 2015

Blood Pressure Medication Can’t Undo All Damage

Well then what does undo the damage? Maybe one of these?
If you have atherosclerosis what is your doctor doing about it?
Do you want the lawnmower?
http://www.articlecity.com/videos/health/Lawnmower-For-Clogged-Arteries-175286465.php
Or Drano? I would be worried about this, sloughing off chunks
http://www.ivanhoe.com/channels/p_channelstory.cfm?storyid=26404

Blood Pressure Medication Can’t Undo All Damage
Treating uncontrolled hypertension with medication can greatly reduce the risk for a myocardial infarction (MI), stroke, and heart failure; however, the current approach to treatment can’t undo all of the previous damage or restore cardiovascular disease risk to ideal levels, according to a study published in the Journal of the American Heart Association.
Donald Lloyd-Jones, MD, Northwestern University Feinberg School of Medicine, Chicago, Illinois, and colleagues sought to determine whether effective treatment of hypertension could lower the risk of cardiovascular disease to that seen in people who have always had ideal blood pressure levels.
“The best outcomes were seen in those who always had ideal levels of blood pressure and never required medications,” said Dr. Lloyd-Jones. “Those who were treated with medication and achieved ideal levels were still at roughly twice the risk of those with untreated ideal levels. And, of course, people with untreated or uncontrolled high blood pressure were at even greater risk.”
He stressed that it remains very important to treat high blood pressure and that lowering blood pressure with antihypertensive medications has been found to lower the risk of cardiovascular disease significantly in middle-aged and older adults.
The new findings strongly suggest that there should be an even greater effort to maintain lower blood pressure levels in younger adults to avoid increases in blood pressure over time that may eventually require medication.
“A greater focus on healthy lifestyles, such as healthier eating patterns, with more fruits and vegetables and lower sodium intake and regular participation in physical activity are the best means for preventing blood pressure levels that might require medication,” said Dr. Lloyd-Jones.
The researchers analysed data from nearly 9,000 participants from the Multi-Ethnic Study of Atherosclerosis (MESA) and the Coronary Artery Risk Development in Young Adults (CARDIA) studies.
They found that MESA participants on antihypertensive medication (all aged 50 years or older at baseline) with well-controlled hypertension (<120/<80 mm Hg) still had twice the risk of cardiovascular disease events in the next 9.5 years compared with participants who had the same low blood pressure levels without treatment.
Results from the CARDIA participants indicate that middle-aged adults with blood pressure well-controlled by medication had longer exposure to higher blood pressure levels throughout young adulthood than those with ideal blood pressure without medication. As a result, they had significantly higher risk of end-organ damage, as measured by left ventricular mass, kidney function, and the presence of coronary artery calcification.
Future studies are still needed to investigate whether earlier treatment with medications could abolish excess cardiovascular disease risk found in this study, according to the authors.
SOURCE: Northwestern University

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