Barbados Heart Foundation

 

 
 
 

Heartline Magazine July - September 2004

Cardiac Support Group Publishes Newsletter

Answers, for Cardiac Surgical Patients and their Families. Now is its sixth year the CSG has decided to publish a quarterly newsletter. Under the leadership of member Roslyn Butcher, first issue contributors include Beverley Stanford, Angela Emtage and nurse Stephanie Bryan. Inspiration and mentorship for the publication came from Dr. Basil Springer. The title, “Cardio Link” was the idea of Cynthia Dahlia.

The CSG reported in its newsletter that the Joint National Committee (JNC) on High Blood Pressure in the US has new guidelines which say that any blood pressure over 115/75 mm Hg increase the risk of death from heart disease and stroke. The risk doubles for each 20/10 mm hg increase.

The JNC guidelines place patients into four categories:

  • Normal – BP < 120/80 (used to be called optimal).

  • Pre-hypertensive – BP 120 – 139/80 – 89 (used to be called normal or “high-normal”).

  • Stage 1 hypertension – BP 140 – 159/90 – 99

  • Stage 2 hypertension – BP 160/100 or above

  • Stage 2 and 3 are now combined because the treatment is the same.

BP goals are < 140/90 for most patients with hypertension or < 130/80 for patients with diabetes or chronic kidney disease. Diuretics are encouraged, especially in combination with other drugs. Lifestyle changes such as weight loss, exercise, limited alcohol intake and smoking cessation are emphasized.

 

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