Reprinted from the Health District's quarterly publication mailed to district residents (Winter 2003)


TOPIC: 'Optimal' blood pressure hits a new low
 
by cheri nichols, rn

Question: I’ve heard that the level once considered to be “normal” blood pressure has been lowered.

Answer: That’s correct. Earlier this year, the National Heart, Lung and Blood Institute revised its guidelines (see chart). The new “optimal” level — less than 120 mm systolic and less than 80 mm diastolic — is based on research that shows damage to arteries begins at fairly low blood pressure levels, once considered “normal.” Also, a person’s lifetime risk of developing high blood pressure (hypertension) is much greater than previously thought.

Q: Are the self-serve blood pressure cuffs at stores accurate?

A: Their accuracy depends on how the machines are treated and maintained. They can be a convenient way for people to measure their blood pressure. To ensure the greatest accuracy:
• Consistently use the same machine.
• Sit and rest 5 minutes before taking a
reading.
• Record each reading, including the time of day taken. Then discuss your results with your regular healthcare provider.
• At some point, compare the store machine reading with that of a reading by a healthcare professional. To make an accurate comparison, be sure that your in-store reading is taken within 30-60 minutes of your reading by a professional.
• If you get readings that are inconsistent, verify the results with a healthcare professional.

Q: I feel fine. Why should I check my blood pressure?

A: People with high blood pressure usually do not have symptoms. However, left untreated, it can contribute to heart attack, stroke or other heart disease. Damage from high blood pressure occurs over time. Hypertension is treatable through lifestyle changes and/or medications.

guidelines
 
160+
100+
Stage 2 Hypertension
140 - 159
90-99
Stage 1 Hypertension
120 - 139
80- 89
Pre-hypertension
<120
< 80
OPTIMAL

(Visit www.nhlbi.nih.gov/hbp/index.html) Get your blood pressure checked at least once a year. If your readings are elevated, discuss them with your doctor.

Q: Does the Health District offer free blood pressure checks?

A: Starting in January, the Health District is offering free blood pressure checks on the third Monday of the month from 9 to 11 a.m. at the Fort Collins Senior Center, 1200 Raintree Drive. No appointment is necessary. For more information, call the Health District at 224-5209.

Blood pressure checks by Health District nurses are also offered free at various clinics around town.

The Health District loans electronic blood pressure cuffs at no charge to residents who want to monitor their blood pressure at home. Check-outs are for two weeks. Call 224-5209 for information and to make an appointment with a nurse to assist you.