What is the goal of blood pressure management

The ultimate goal of antihypertensive therapy is to delay, prevent, or reverse blood pressure-related end-organ vascular damage. To achieve this most effectively, blood pressure should be reduced to target levels specified in the current guidelines. The current (seventh) report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure (JNC7) recommends a goal of <140/90 mmHg in the general population (16). However, a substantial proportion of patients with metabolic syndrome have diabetes or chronic kidney disease; JNC7 and the American Diabetes Association recommend a goal of <130/80 mmHg for such individuals (16,17). Thus, the physician is challenged to be bold enough to adopt an intensive blood pressure management strategy to achieve and maintain goal blood pressure and protect the patient against future morbidity and mortality.

A survey utilizing the Framingham algorithm to evaluate coronary risk in NHANES III subjects with metabolic syndrome estimates that the controlling blood pressure to normal levels (120-129/80-84 mmHg) would prevent 28.1% of coronary events in men and 12.5% of events in women (15). Control to optimal levels (<120/80 mmHg) was expected to prevent 28.2% of coronary events in men and 45.2% of events in women. However, clinical end point data are needed to confirm these figures.

Pressure Points For Hypertension

Fig. 2. Algorithm for the treatment of hypertension. (See color version of this figure on color plates.)

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Fig. 2. Algorithm for the treatment of hypertension. (See color version of this figure on color plates.)

Metabolic syndrome patients with hypertension should be managed according to current guidelines, which comprise lifestyle modifications and pharmacological therapy (Fig. 2) (16).

Fire Up Your Core

Fire Up Your Core

If you weaken the center of any freestanding structure it becomes unstable. Eventually, everyday wear-and-tear takes its toll, causing the structure to buckle under pressure. This is exactly what happens when the core muscles are weak – it compromises your body’s ability to support the frame properly. In recent years, there has been a lot of buzz about the importance of a strong core – and there is a valid reason for this. The core is where all of the powerful movements in the body originate – so it can essentially be thought of as your “center of power.”

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