Fifty Plus (50+) - Another item for your 50+ worry list - PULSE PRESSURE

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DnvrFox
03-25-08, 06:29 AM
Another item for your 50+ worry list - PULSE PRESSURE

Pulse pressure is the difference between your systolic and diastolic BP. In men 60+, a pulse pressure of 60 or more is now a big predictor of coronary heart disease. :eek::eek:

Mine this morning is:

BP = 106/67
PP = 39
HR = 57 BPM

What's yours?

Read all about it.

"Importance of arterial pulse pressure as a predictor of coronary heart disease risk in PROCAM" (http://eurheartj.oxfordjournals.org/cgi/content/full/26/20/2120)

Methods and results On the basis of a 10-year follow-up of 5389 men aged 35–65 at recruitment into PROCAM, we used a proportional hazards model to calculate the effect of systolic blood pressure (SBP), diastolic blood pressure (DBP), and PP on CHD risk after correcting for age, high-density lipoprotein cholesterol, LDL cholesterol, triglycerides, smoking, diabetes, and family history of premature CHD. Increases of 10 mmHg in DBP, SBP, and PP were associated with an increased CHD hazard ratio (HR) of 10%. When the group was divided into the age groups <50, 50–59, and >59 years, this relationship was seen in the age group 50–59 years for DBP, SBP, and PP and in men aged 60 for PP only (25% increase in HR). Overall, CHD risk in men with PP 70 mmHg was more three times that of men with PP <50 mmHg. This increased risk was not apparent at age <50 years, was greatest at age >60 years, and was also present in men who were normotensive at recruitment (SBP 160 mmHg, DBP 95 mmHg).

Conclusion In older European men, increased PP is an important independent determinant of coronary risk, even among those initially considered normotensive.

Also, a Google (http://www.google.com/search?source=ig&hl=en&rlz=1G1GGLQ_ENUS257&q=pulse+pressure) shows many other articles.


tlc20010
03-25-08, 07:13 AM
Another item for your 50+ worry list - PULSE PRESSURE

Pulse pressure is the difference between your systolic and diastolic BP. In men 60+, a pulse pressure of 60 or more is now a big predictor of coronary heart disease. :eek::eek:

Mine this morning is:

BP = 106/67
PP = 39
HR = 57 BPM

What's yours?

Read all about it.

"Importance of arterial pulse pressure as a predictor of coronary heart disease risk in PROCAM" (http://eurheartj.oxfordjournals.org/cgi/content/full/26/20/2120)

Methods and results On the basis of a 10-year follow-up of 5389 men aged 35–65 at recruitment into PROCAM, we used a proportional hazards model to calculate the effect of systolic blood pressure (SBP), diastolic blood pressure (DBP), and PP on CHD risk after correcting for age, high-density lipoprotein cholesterol, LDL cholesterol, triglycerides, smoking, diabetes, and family history of premature CHD. Increases of 10 mmHg in DBP, SBP, and PP were associated with an increased CHD hazard ratio (HR) of 10%. When the group was divided into the age groups <50, 50–59, and >59 years, this relationship was seen in the age group 50–59 years for DBP, SBP, and PP and in men aged 60 for PP only (25% increase in HR). Overall, CHD risk in men with PP 70 mmHg was more three times that of men with PP <50 mmHg. This increased risk was not apparent at age <50 years, was greatest at age >60 years, and was also present in men who were normotensive at recruitment (SBP 160 mmHg, DBP 95 mmHg).

Conclusion In older European men, increased PP is an important independent determinant of coronary risk, even among those initially considered normotensive.

Also, a Google (http://www.google.com/search?source=ig&hl=en&rlz=1G1GGLQ_ENUS257&q=pulse+pressure) shows many other articles.

Whoa, when did 160/95 become normal???? My understanding is that anything above 140 is cause for diet, exercise, medication change.

After two cups of coffee, mine is 130/71 with a pulse of 48, so I guess I am on the verge of going down....

DnvrFox
03-25-08, 07:15 AM
Whoa, when did 160/95 become normal???? My understanding is that anything above 140 is cause for diet, exercise, medication change.

After two cups of coffee, mine is 130/71 with a pulse of 48, so I guess I am on the verge of going down....

I have heard, via the err . . "grapevine" . . . that the European medical community has different (and higher) norms for BP.


crtreedude
03-25-08, 07:22 AM
I am 120/78 - I guess I am just about as good as it gets. Heart rate of 42 too. This is probably why in my family we live so long that the decendants are tempted to bump us off just to get rid of us... :lol:

John E
03-25-08, 08:37 AM
I would be far more concerned about a high diastolic pressure than anything else. My ideal goal is to drive it down to 60, which I can do only by staying on a strict Pritikin low-fat diet and losing about 10 lbs. of weight. Otherwise I battle to hold a still-decent 70 or 75. If I lived the average American lifestyle, I would be an obese diabetic hypertensive, thanks to various genetic traits.

richking1953
03-25-08, 10:14 AM
The old rule of thumb in the US for SBP was 100+age. They also used the phrase "essential hypertension" because it was thought your BP had to go up as you aged and your arteries "hardened", in order to continue to get enough blood flow. I guess they thought the hardening was inevitable.

Anyway, maybe in Europe they still use that old standard?