Page 4 - Boca Exposure - October '20

Page 4, Boca Exposure
Blood Pressure Control Takes Center Stage

By Steven E. Reznick, sodium chloride lowers blood pressure. Smoking cessation and autonomic nervous system when they stand up, and blood
M.D., FACP lowers blood pressure as does regular modest activity or rushes away from their brain, normal regulatory actions
The news has been exercise. If lifestyle changes don’t solve the problem, we don’t occur. Their pressure plummets; they get lightheaded
flooded with information must consider medications. and faint or fall to the ground sustaining traumatic injuries.
about viral respiratory tract The Family Physicians Inquiry Network examined Their blood pressure lying down and sometimes seated is
infections, COVID-19, supplements for blood pressure control. In a 2017 Cochran’s high because we are afraid to lower it too much.
influenza, masks, vaccines review of 1,800 patients given cocoa, they found a 1.8 mm A research publication in the Sept. 10 Annals of Internal
and the disruption of our mercury reduction in systolic and diastolic blood pressure. Medicine by S. Juraschek, M.D., Ph.D. et al showed that
lives. At the same time, For those patients carrying a hypertension diagnosis, the intensive blood pressure control with medications lowered
traditional controllable reduction in blood pressure averaged 4 mm mercury. Blood the risk of an orthostatic hypotension event. Data shows that
health risks relentlessly pressure reduction also occurred with omega3 fatty acids, by aggressively lowering their blood pressure, we are not
continue to take their deadly garlic, L-arginine, beetroot juice, flax seed oil and olive oil exacerbating their orthostatic hypotension.
toll. Much has been written in the past few weeks about high extract. Board Certified in internal medicine, with added
blood pressure. When we add medications to achieve blood pressure qualifications in geriatrics, Steven E. Reznick, M.D. has
The Journal of the American Medical Association carried guidelines, we run into medication adverse effects as we practiced locally since 1979. He is recognized by his peers as
a peer reviewed article from the University of Alabama, increase the dosages and number of medications. For years, a “Best Doctor”. To schedule a complimentary meeting with
Birmingham, authored by Paul Murthan Ph.D., noting that a subset of patients with orthostatic hypotension (OH) Dr. Reznick, to learn about his personalized care practice,
between 2013 and 2018 there had been a decrease of 11 challenged us. Due to likely faulty regulation of their reflexes call (561) 368-0191 or visit www.BocaConciergeDoc.com.
percent in adult blood pressure control in the USA in adults
who were followed in the National Health and Nutrition
Study. The major reason was failure of patients to see their
doctor.
In a publication of JAMA Cardiology recently, researchers
looked at adults with no risk factors for cardiovascular
disease and calculated that for each 10mm mercury rise in
blood pressure there was a major risk increase in developing
atherosclerotic cardiovascular disease. The authors
emphasized the need for tight blood pressure control for Do you know a family member,
prevention.
Physicians run into obstacles when trying to tightly control friend or a neighbor in need of
blood pressure. We always prefer lifestyle improvements.
Weight reduction lowers blood pressure. Salt restriction of Home Health Care?

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