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Top Blood pressure monitors from Consumer Reports

Top Blood pressure monitors from Consumer Reports | Heart and Vascular Health | Scoop.it

Recommended blood pressure monitors are standout choices with high scores. They include CR Best Buys, which offer exceptional value. When narrowing your choices, weigh features, price, and attributes that matter to you.

Seth Bilazarian, MD's insight:

Consumer reports ratings for blood pressure monitors - Best Buys and which ones to avoid.

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Drinking from BPA-lined cans may increase Blood Pressure

Drinking from BPA-lined cans may increase Blood Pressure | Heart and Vascular Health | Scoop.it

Consuming food and drinks from cans or plastic bottles coated with bisphenol A may cause increases in blood pressure, according to research published in Hypertension.
Researchers demonstrated that concentrations of bisphenol A (BPA) in urine were higher in participants who drank from cans lined with material containing the chemical vs. from glass bottles.

The investigators measured individuals’ urinary BPA concentration, blood pressure (BP) 2 hours after consuming each beverage; 

Urinary BPA concentrations were >1,600% higher after drinking from cans compared with drinking from glass bottles. Systolic BP, adjusted for daily variance, rose approximately 4.5 mm Hg after consuming two canned beverages vs. two glass-bottled beverages (P=.02).  A 5 mm Hg increase in systolic [BP] by drinking two canned beverages may cause clinically significant problems, 

Seth Bilazarian, MD's insight:

The FDA says that BPA is safe http://goo.gl/4vV0w and says "Consumers may use the resin code appearing on plastic containers as a guide to the possible presence of BPA. A resin code of 7 indicates that the container may be made of a BPA-containing plastic. " But the NRDC.org says "A number of canned foods and plastic bottle manufacturers have stopped using BPA, though because there is no labeling requirement, consumers do not know which products contain BPA and which don't."

In our home there are no cans with resin code 7.  Whether this represents accurate labeling or not is unclear.  The nearly 5 mm Hg increase in BP could be meaningful over many years.  The importance of this will need continued study. The practical recommendation for grocery shoppers is that this is another reason to opt for fresh or frozen foods rather than canned.

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Controlling Hypertension (High Blood Pressure) Via Kidney = Renal Denervation

Controlling Hypertension (High Blood Pressure)  Via Kidney = Renal Denervation | Heart and Vascular Health | Scoop.it

New experimental treatment for stubborn hypertension: Singeing the walls of nerve-lined arteries leading to the kidneys, blocking the organs' ability to raise blood pressure.

 

Medtronic is investigating a renal denervation strategy in a trial called Symplicity.  Procedure takes about 30 - 40 minutes. The study will target 530 patients with systolic blood pressure over 160 despite taking at least three medicines.  "Until now, there were no other options for such patients, other than adding more drugs".

 

For patients with resistant hypertension interested in clinical trial participation in Symplicity contact the clincial research office at (978) 469-5494 or visit the website http://www.pmaonline.com/clinical-trials.htm ;

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Catheter based Renal Nerve Ablation Safely Lowers BP in kidney disease patients

Catheter based Renal Nerve Ablation Safely Lowers BP in kidney disease patients | Heart and Vascular Health | Scoop.it

My comment for patients:  More good news for renal nerve denervation.  This catheter based treatment done like a heart catheterization from the artery in the groin has been show to have significant BP improvement for those patients who can't be controlled with 3 or more drugs, called resistnt hypertension.  This study shows that this treatment also works in patients with chronic kidney disease.  We won't have this available in the US for two or more years but the future for this technolopgy looks bright.

 

From the article:

Catheter-based renal nerve ablation helps lower resistant hypertension, but now researchers have found that it works as well in those with chronic kidney disease (CKD), a pilot study showed.  n 15 patients with resistant hypertension and stage 3 and 4 CKD, bilateral renal denervation lowered blood pressure by a mean of 34/14 mmHg at 1 month and 32/15 mmHg at 6 months.

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How to : Measure your own blood pressure

http://www.bhf.org.uk We talk you through the basics of taking your blood pressure yourself. Its simple and we show you what to do.
Seth Bilazarian, MD's insight:

Simple, but comprehensive resource for accurate blood pressure measurement at home.  The only thing I would add is to bring your cuff &  blood pressure measurement instrument to a doctor to see if the measurements you get are consistent with the values obtained by a trained and certified health professional . This can be done in your doctors office or by a community program that does blood pressure measurements performed by a nurse or other trained professional.

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Nearly 1 in 6 Americans has uncontrolled high blood pressure

Nearly 1 in 6 Americans has uncontrolled high blood pressure | Heart and Vascular Health | Scoop.it

Uncontrolled high blood pressure -- defined as having a systolic (top reading) of 140 or above or having a diastolic (bottom reading) of 90 or above -- is “public health enemy number two” behind smoking, said CDC Director Thomas Frieden; it contributes to 1,000 deaths in this country every day and causes $131 billion a year in healthcare costs.  See the Million Hearts Campaign for more info.

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What Is High Blood Pressure? - NHLBI, NIH

What Is High Blood Pressure? - NHLBI, NIH | Heart and Vascular Health | Scoop.it
Information in an easy to read and understand format for patients to uderstand the imprtance of high blood pressure treatment. What Is High Blood Pressure?
High blood pressure (HBP) is a serious condition that can lead to coronary heart disease (also called coronary artery disease), heart failure, stroke,
kidney failure, and other health problems.

"Blood pressure" is the force of blood pushing against the walls of the arteries as the heart pumps blood. If this pressure rises and stays high over time, it can damage the body in many ways.

 

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