Blood pressure
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"it's a bit high" (for your age eg).
Times have changed. Pulling out my Pschyrembel Klinisches Wörterbuch for 1986 - and this is the ultimate authority for German Medical Practicioners, even today in the latest published version - we find the following table:
BP in mmHg Normalwerte (note that - Normal Values !)
Newborn: 60-80 systolic
Breastfeeding: 80-90 systolic
Up to 10 years of age: 90/60
10-30 years of age: 110/75
30-40 years of age: 125/85
40-60 years of age: 140/90
Over 60: 150/90
This table reflects average hardening of arteries pushing the blood pressure up as a person gets older.
Today doctors tell people it should be around 135/80 for all age groups. Well, were the doctors of 30 years ago wrong ? Are the present doctors wrong ? Who knows ! Yers pays yer money and yer takes yer choice.
True story: about 35 years ago a urologist recommended an 'essential' operation on my uretha to increase the flow of pee, this operation being so awful to think about it that to this day my nuts clench in horror at the recollection of what he suggested doing (hint: it involved a catheter and a very sharp blade).
I didn't have it done. I still pee OK, flowrate unchanged.
Times have changed. Pulling out my Pschyrembel Klinisches Wörterbuch for 1986 - and this is the ultimate authority for German Medical Practicioners, even today in the latest published version - we find the following table:
BP in mmHg Normalwerte (note that - Normal Values !)
Newborn: 60-80 systolic
Breastfeeding: 80-90 systolic
Up to 10 years of age: 90/60
10-30 years of age: 110/75
30-40 years of age: 125/85
40-60 years of age: 140/90
Over 60: 150/90
This table reflects average hardening of arteries pushing the blood pressure up as a person gets older.
Today doctors tell people it should be around 135/80 for all age groups. Well, were the doctors of 30 years ago wrong ? Are the present doctors wrong ? Who knows ! Yers pays yer money and yer takes yer choice.
True story: about 35 years ago a urologist recommended an 'essential' operation on my uretha to increase the flow of pee, this operation being so awful to think about it that to this day my nuts clench in horror at the recollection of what he suggested doing (hint: it involved a catheter and a very sharp blade).
I didn't have it done. I still pee OK, flowrate unchanged.
Last edited by OFSO; 31st Jul 2013 at 10:50.
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We have 'average' values for parameters such as bodyweight, and we have 'healthy' values, and I believe these are often confused and abused especially when people are trying to make a point.
I am below average weight for my height, and probably anorexic by USAmerican, SA or even UK standards, but am probably a healthy weight as so many people are obese and thus slew the statistics. A few weeks ago I was in Amsterdam and was shocked by the size of many, if not most, of the people I saw around me, and I'm referring to their bulk, not height.
My BP is 120/85. According to OFSO's figures, it should be 150/90.
I am below average weight for my height, and probably anorexic by USAmerican, SA or even UK standards, but am probably a healthy weight as so many people are obese and thus slew the statistics. A few weeks ago I was in Amsterdam and was shocked by the size of many, if not most, of the people I saw around me, and I'm referring to their bulk, not height.
My BP is 120/85. According to OFSO's figures, it should be 150/90.
Está servira para distraerle.
The answer for those advancing in years is of course to have, hand in hand with a base line colonoscopy, an angiogram. This one off and walk in procedure will enable your cardiologist to determine the extent of any heart disease that might be present. This result, coupled with that of a twenty four hour ambulatory blood pressure survey, will enable a quite precise diagnosis to be made and long term medication prescribed, as applicable, to either raise or lower the blood pressure. It's not just the spot readings that matter. The cycle is important as well. 135/85 seems to be the preferred target figure these days with, increasingly, the blood pressure being taken immediately on walk in not after a nice long rest on the examination couch.
Last edited by cavortingcheetah; 31st Jul 2013 at 13:55.
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My doctor will not do a colonoscopy as long as all other tests are negative (no blood in stool, certain enzymes OK). I have heard of a couple of perforated intestines recently (both in the UK) so I go along with this. My doctor will also not do a manual examination of the prostate provided the PSA is normal, no blood/proteines in urine, the patient is not having urinary trouble, and the ultrasonic exam is OK. (He loves his ultrasonic machine, whichg is switched on all day and ready to go. Gets me on it every time I'm there. Hopefully one day his lovely assistant will be allowed to apply the jelly.)
And never forget the most important question a doctor should ask a patient: "What did your parents die of ?"
And never forget the most important question a doctor should ask a patient: "What did your parents die of ?"
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The thought of either procedure being quite sufficient to raise the tempo of the blood pressure to a rate which could cause a heart attack or stroke?
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BP in mmHg Normalwerte (note that - Normal Values !)
Newborn: 60-80 systolic
Breastfeeding: 80-90 systolic
Up to 10 years of age: 90/60
10-30 years of age: 110/75
30-40 years of age: 125/85
40-60 years of age: 140/90
Over 60: 150/90
Newborn: 60-80 systolic
Breastfeeding: 80-90 systolic
Up to 10 years of age: 90/60
10-30 years of age: 110/75
30-40 years of age: 125/85
40-60 years of age: 140/90
Over 60: 150/90
This would tend to confirm my experience in 1974 if the examining doctor got a similar reading to that recorded in my RAF discharge medical (140/80) of three years earlier.
That said, I had a medical on joining that first civilian employer in 1971 and BP was not mentioned so must have been ok............or different doc?
I am afraid the diastolic pressures (the lower number) in this table are really too high by current standards. There have been a number of MASSIVE studies involving thousands of patients over many years which have shown the diastolic needs to start with an 8 and be closer to 80 than 90 until maybe well into the 60s.
I am aware that suggesting the word DRUGS will bring forth a torrent of claims from the flat earth brigade, and it is true that antihypertensive drugs can produce side effects, but again objective controlled studies show that drug therapy where necessary to achieve these targets prolongs life and reduces heart attacks and strokes.
As for an angiogram, I dont like the walk in comments as in fact it is a significant operation with both morbidity and mortality. It should not be done lightly - only if there is clear evidence of a risk of coronary artery disease or valvular damage or congential heart disease. Many of us have a few narrowings of the coronary vessels which should be left well alone - doctors do like to fiddle.
Nowadays CT or MRI angiography is the safe alternative especially for pilots who merely need boxes ticked for the regulator.
I am aware that suggesting the word DRUGS will bring forth a torrent of claims from the flat earth brigade, and it is true that antihypertensive drugs can produce side effects, but again objective controlled studies show that drug therapy where necessary to achieve these targets prolongs life and reduces heart attacks and strokes.
As for an angiogram, I dont like the walk in comments as in fact it is a significant operation with both morbidity and mortality. It should not be done lightly - only if there is clear evidence of a risk of coronary artery disease or valvular damage or congential heart disease. Many of us have a few narrowings of the coronary vessels which should be left well alone - doctors do like to fiddle.
Nowadays CT or MRI angiography is the safe alternative especially for pilots who merely need boxes ticked for the regulator.
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Interesting post, Radgirl, thanks.
antihypertensive drugs can produce side effects,
Such as betablockers affecting one's libido. Trouble in analysing their effect is that older people tend to suffer high BP, get prescribed betablockers, have been married/with the same partner for many years, hence libido is usually reduced anyway even before popping the pill.
(My apologies for bringing up this subject which I am sure doesn't affect all you healthy young aircrew out there !)
Other frequently prescribed drugs to lower BP are diuretics, but with management (i.e. time of day when you take 'em) trips to the wc can be scheduled at convenient times.
Anyone know of any new developments in medication for reducing BP ?
antihypertensive drugs can produce side effects,
Such as betablockers affecting one's libido. Trouble in analysing their effect is that older people tend to suffer high BP, get prescribed betablockers, have been married/with the same partner for many years, hence libido is usually reduced anyway even before popping the pill.
(My apologies for bringing up this subject which I am sure doesn't affect all you healthy young aircrew out there !)
Other frequently prescribed drugs to lower BP are diuretics, but with management (i.e. time of day when you take 'em) trips to the wc can be scheduled at convenient times.
Anyone know of any new developments in medication for reducing BP ?
Está servira para distraerle.
10mg of Cialis daily will reduce the size of an enlarged prostate while at the same time helping to counteract the unwanted side effects of a Betablocker.
If one were to combine a little Cialis with a trifling dose of 50mg Viagra, why, then the blood pressure would most surely be manifested in a more desirable place than usual. Manufacturers have not yet designed a cuff sufficiently small to encompass such an appendage.
An angiogram is a walk in procedure under UK NHS guide lines. Walking out though, earlier than the carefully monitored post procedural waiting period, could lead to a messy and bloody death, probably in the hospital car park which might give the Zimmer framers something to skid on.
If one were to combine a little Cialis with a trifling dose of 50mg Viagra, why, then the blood pressure would most surely be manifested in a more desirable place than usual. Manufacturers have not yet designed a cuff sufficiently small to encompass such an appendage.
An angiogram is a walk in procedure under UK NHS guide lines. Walking out though, earlier than the carefully monitored post procedural waiting period, could lead to a messy and bloody death, probably in the hospital car park which might give the Zimmer framers something to skid on.
Last edited by cavortingcheetah; 1st Aug 2013 at 11:48.
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Had this been Jet Blast I would have been more a little more descriptive but found myself here constrained by the requirement for medical nicety, a quality enthusiastically lacking in every party I've ever attended involving medical students and nurses.
I do indeed have such a cuff but I am not sure I should publicise it.
Many years go some researchers at a teaching hospital not far from parliament did indeed measure penile blood pressure. Therein lies a good after dinner tale
Diuretics and beta blockers are a little passé. We now use ACE inhibitors and calcium channel blockers as front line drugs, which depends on race. However the advice is not to change if You are already on something else
Thanks for telling me what the NHS considers. The NHS also considers it provides one of the best healthcare systems in the world. I rest my case
Many years go some researchers at a teaching hospital not far from parliament did indeed measure penile blood pressure. Therein lies a good after dinner tale
Diuretics and beta blockers are a little passé. We now use ACE inhibitors and calcium channel blockers as front line drugs, which depends on race. However the advice is not to change if You are already on something else
Thanks for telling me what the NHS considers. The NHS also considers it provides one of the best healthcare systems in the world. I rest my case
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Diuretics and beta blockers are a little passé. We now use ACE inhibitors and
calcium channel blockers as front line drugs, which depends on race. However the advice is not to change if You are already on something else
calcium channel blockers as front line drugs, which depends on race. However the advice is not to change if You are already on something else
ACE inhibitors made me cough.
Está servira para distraerle.
Here in the modern day is what always used to be the sovereign remedy for agues and pressures of the blood in the old. Well, actually, up until quite recently in the UK. It's not known how many of the doctors in the following illustrations have translocated to the British NHS. But one reads, perhaps more than occasionally in the press, reports to indicate that many may have done so.
In Pictures: Bloodletting in Delhi - In Pictures - Al Jazeera English
Companies and business organisations which consider that they provide the best of all service, especially when so richly funded by their shareholders, usually have the wrong business ethos for sustained growth and customer service. A little more of the striving and a trifle less self congratulation goes a long way to reducing the inevitable consequences of the Greek concept of hubris.
In Pictures: Bloodletting in Delhi - In Pictures - Al Jazeera English
Companies and business organisations which consider that they provide the best of all service, especially when so richly funded by their shareholders, usually have the wrong business ethos for sustained growth and customer service. A little more of the striving and a trifle less self congratulation goes a long way to reducing the inevitable consequences of the Greek concept of hubris.
Last edited by cavortingcheetah; 2nd Aug 2013 at 05:42.
Regarding high blood pressure, I met a 92 year old the other day. Due to high blood pressure he was not selected for airforce pilot training at the age of 18. I reckon, it´s genetics in his case. Anyhow, considering his age, he is still going strong. Makes me wonder what negative effects if any high blood pressure has with some ppl.
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now use ACE inhibitors
My doctor tried this on me. Caused a persistant leakage of fluid down the back of the throat, like having a heavy cold. This caused me to have a violent cough, so bad I ended up at the ENT doctor - who after a long series of tests determined it was the Ramipril. Told me about 20% of patients who take ACE inhibitors get this side effect. What with me plus members of the wife's family, it was 100%. So stopped it. Side effects of the beta blockers more tolerable, or at least no pain involved.
Therein lies a good after dinner tale
Suggest you pop down to Jet Blast and tell it !
My doctor tried this on me. Caused a persistant leakage of fluid down the back of the throat, like having a heavy cold. This caused me to have a violent cough, so bad I ended up at the ENT doctor - who after a long series of tests determined it was the Ramipril. Told me about 20% of patients who take ACE inhibitors get this side effect. What with me plus members of the wife's family, it was 100%. So stopped it. Side effects of the beta blockers more tolerable, or at least no pain involved.
Therein lies a good after dinner tale
Suggest you pop down to Jet Blast and tell it !
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Anyone with borderline high bp might want to google Ivy's Muktavati. Many people find it lowers bp without side effects.
I'm merely passing on information; I don't want to get into any discussion on whether it's tested etc.
I'm merely passing on information; I don't want to get into any discussion on whether it's tested etc.
