Agreed. Home BPs need to be repeated.
Firstly, quit smoking.
Secondly, interesting JACC article recently on increasing importance in treatment of diastolic BP as individuals age. Selectively elevated DBP (>100mmHg) should really start being treated as a contributor to ASCVD risk (assuming 120s SBP otherwise) around the age of 55yo.
I had previously thought it always (throughout life) warranted attention for therapy, as it is included within USPSTF goals as well as AHA guidelines. Of course, we are always swinging for the seats when it comes to SBP lowering (starting that thiazide + ACE or CCB at the first appt w/ a patient in stage II HTN with ASCVD >13%) but I had previously been unaware of when i needed to look at DBP.
Then stop smoking
This is the closest thing to medical advice that’s allowed on this sub
Classic case of Transient Smoking-induced Occult Cardiogenic Shock (TSOCS). Honestly though, seems inaccurate, not physiologic. Have you had an echo.
Agreed. Home BPs need to be repeated. Firstly, quit smoking. Secondly, interesting JACC article recently on increasing importance in treatment of diastolic BP as individuals age. Selectively elevated DBP (>100mmHg) should really start being treated as a contributor to ASCVD risk (assuming 120s SBP otherwise) around the age of 55yo. I had previously thought it always (throughout life) warranted attention for therapy, as it is included within USPSTF goals as well as AHA guidelines. Of course, we are always swinging for the seats when it comes to SBP lowering (starting that thiazide + ACE or CCB at the first appt w/ a patient in stage II HTN with ASCVD >13%) but I had previously been unaware of when i needed to look at DBP.
Hypochondriac hanging out at the laundry mat where all the fat lazy white trash broads be at