Guidelines for doctor patient dating
The result has been confusion similar to that created late last year with the muddled rollout of new guidelines for using cholesterol-lowering statin drugs.
The controversy began when a panel of 17 national experts announced in December that, based on a five-year analysis of the best available research, the target for treating high blood pressure should be nudged a little higher for those age 60-plus and for those with diabetes or kidney disease.
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Its findings were published in the Journal of the American Medical Association.
However, five panel members disagreed and published a follow-up article in the Annals of Internal Medicine warning that the change could put more patients at risk for heart disease and stroke. Join the discussion The American Heart Association has also resisted the change, saying that it could undermine recent progress in reducing deaths from these conditions.
However, most researchers estimate between 1,000 and 3,000 cases a year in the United States, out of a total of 4 million births.
To put this in greater perspective, an estimated 20-25% of pregnant women have genital herpes, while less than 0.1% of babies contract an infection.
"Blood pressure changes every second of the day," says Dr.
Sharon Brangman, a professor of medicine at the State University of New York at Buffalo and president of the American Geriatric Society. Doctors have long been familiar with the phenomenon of "white coat hypertension" — the tendency for some people's blood pressure to shoot up when it's tested in a doctor's office. Blood pressure readings may be perfectly normal at the doctor's office and elevated as soon as the person gets home, a condition called "masked hypertension." Next: How do you know if you really have high blood pressure?
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