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National guidelines were recently issued for the prevention and management of high blood pressure. The report is titled The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure, or "JNC 7" for short.
National guidelines say that for individuals aged 40 to 70 years, as blood pressure numbers rise above normal range, so does your risk of having a heart attack or stroke. For example, beginning at 115/75 mm Hg, every 20 point increase in your systolic (top) number or 10 point increase in your diastolic (bottom) number doubles your risk of having a heart attack or stroke.
Patients with those numbers should make healthy lifestyle changes and possibly receive prescription medication.
According to the JNC 7 guidelines, people with a blood pressure reading in this range are considered to be "pre-hypertensive," and they require healthy changes to their lifestyle in order to prevent the development of cardiovascular (heart or blood vessel) disease, which can lead to a heart attack or stroke.
The guidelines also recommend weight reduction, dietary changes (such as reducing salt in your diet), increasing physical activity, decreasing alcohol intake and stopping smoking.
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