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Over 50 Percent Doctors found to have uncontrolled hypertension or high blood pressure (BP) despite taking Hypertensive Medicines: Study

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New Delhi, May 16, 2017: More than 50 per cent physicians have been found to have uncontrolled hypertension or high blood pressure (BP) despite taking hypertensive medicines, owing to high-stress levels, a study has showed.

Hypertension is one of the most common lifestyle diseases prevalent today with one in three Indian adults suffering from it and is equally high amongst the medical fraternity.

However, it is often misdiagnosed given the difference in blood pressure readings at home and in a clinical setting.

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The findings found that 56 percent of doctors suffered from irregular BP at night and 21 percent from masked hypertension — a condition in which a patient’s blood pressure reading is inaccurate due to specific environments.

This masked hypertension is also associated with an increased long-term risk of sustained hypertension and cardiovascular morbidity, the study said.

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“Over 50 per cent physicians had uncontrolled hypertension despite taking hypertensive medicines. While 21 per cent of the doctors surveyed had masked hypertension or isolated ambulatory hypertension, another 56 per cent doctors suffered from irregular BP pattern at night making them prone to future adverse cardiac events,” said Indian Medical Association (IMA) Presidet K.K. Aggarwal.

For the study, the team took nearly 20,000 readings of 533 doctors.

The study aimed to raise awareness about the benefits of ambulatory blood pressure monitoring (ABPM) — where the BP of the patient is continuously evaluated over a period of 24 hours — in the timely and correct diagnosis of hypertension. (IANS)

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Study: Dementia Risk to 50-year-olds With Raised Blood Pressure

How middle-age hypertension raises dementia risk later

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Dementia Risk to 50-year-olds With Raised Blood Pressure
Dementia Risk to 50-year-olds raises with Blood Pressure . Pixabay

A high blood pressure level but still below the usual threshold for treating hypertension can put 50-year-olds at increased risk of developing dementia later, revealed a study led by an Indian-origin researcher.

According to the American Heart Association, normal blood pressure is below 120/80 mmHg.

People with a systolic blood pressure (the top number) of 130 mmHg or more at the age of 50 had a 45 per cent greater risk of developing dementia than those with a lower level at the same age.

The risk was 47 per cent even in people with no heart or blood vessel-related conditions.

“Our work confirms the detrimental effects of midlife hypertension for risk of dementia,” said lead author Archana Singh-Manoux, Professor at the French National Institute of Health and Medical Research (INSERM) in Paris.

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Representational image. Pixabay

The reason for the increased risk of dementia includes the fact that high blood pressure is linked to silent or mini strokes (where symptoms often are not noticeable), damage to the white matter in the brain, which contains many of the brain’s nerve fibres, and restricted blood supply to the brain.

This damage may underlie the resulting decline in the brain’s processes, the researchers explained in the study of nearly 9,000 people, published in the European Heart Journal.

However, the association was not seen at the ages of 60 and 70, and diastolic blood pressure (the bottom number) was not linked to dementia.

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“Our analysis suggests that the importance of mid-life hypertension on brain health is due to the duration of exposure,” the researcher said.

“So we see an increased risk for people with raised blood pressure at age 50, but not 60 or 70, because those with hypertension at age 50 are likely to be ‘exposed’ to this risk for longer,” she added.

Another study reported in the journal Cardiovascular Research showed that higher risk of developing dementia in hypertensive patients occurs due to significant alterations in three specific white matter fibre-tracts linked to executive functions, processing speed, memory and related learning tasks — brain areas associated with dementia. (IANS)