Blood Pressure: The High's, The Low's and Everything in Between

Thursday, March 22, 2018
David Abrams

While 120/80 mmHg is the standard benchmark for good health in adults, factors including age, gender and other existing conditions all contribute to varying blood pressure numbers. In recent articles from various organizations including the American Heart Association and the American College of Cardiology there is a widespread promotion of new and at times somewhat conflicting blood pressure guidelines.  With all this new information, it is of no surprise that patients with high blood pressure can be overwhelmed. In my practice, I am able to take the time to customize a blood pressure range that takes into account the individual variations and preferences of my patients using home blood pressure monitoring.


Everybody has different medical conditions, different choice of medications and different sensitivity to medications. Blood pressure fluctuations are extremely common and not all spikes and dips prompt concerns. The changes in blood pressure reflect the body's ability to adapt and can be a part of a normal daily physiology-- even laughing, talking, walking can cause noticeable increases. However, distinguishing between the normal from the abnormal is crucial. Setting a target blood pressure range based on one's medical history, current medications and overall health goals is achievable. To recognize and acknowledge this conclusion is the key to not only reach healthy blood pressure but also maintain an overall healthy lifestyle.  


Thanks to advances in electronic communication my patients keep me up to date with secure email, text messages, even old fashioned fax transmissions of their blood pressure readings and perhaps any symptoms they are having. That is Telemedicine.