Wednesday, October 14, 2009

Treatment of Hypertension

Curt Furberg started the year in the American Journal of Hypertension Volume 22 Number 1(1-2) January 2009 with a comment on how badly we are treating High Blood Pressure in the world. He points out that physicians have a “one size fits all” approach while following the principle of the “JNC 7 made me do it”. These National guidelines to approach blood pressure control aren’t working.

We have developed an assessment system that tells us what the vascular “tree” is doing and how to influence it positively to achieve health, normal arteries and normal blood pressure. It is as follows.
  • Measure “pressure” with the CVProfiler. This gives us the elasticity and integrity of the C-2 (small) and C-1 (large) arteries. To see them, you would need a microscope.
  • Measure the Central Aortic Systolic Pressure (CASP), the number derived from the wave form that bounces back from the impact of the pulse wave hitting the aorta as it goes down your back. It bounces back to the BPro device measuring all these waves (think sonar, think radar, think catalytic converter junked up with exhaust residue like cholesterol plaque).

From these data we derive the treatment program.

The cost has not increased because it is all included in the “vascular package” that includes all vascular testing. Our success with this health system is known as strategic health. This process finds disease prior to any symptoms and reverses it.

My last patient today knew there was a problem prior to her stroke last year, but none of the doctors what to look for. The blood pressure drug given her after the stroke unfortunately was one that causes additional stroke by causing inelastic arteries and increasing insulin resistance and diabetes. Wrong choice.

The BPro alone can do all that I have mentioned above and is ever increasingly available throughout the world. We have just opened our newest iteration of Telemedicine for those with diabetes and all related complications such as hypertension we now can do more personal help with problems. Click below.

http://www.endocrinemetabolic.com/programs/online-diabetes.html

We can take care of anyone in California. For patients anywhere in the world we can act as a consultant to whoever is designated to practice in their Country. We want to work as a consultant in California as well because we are limiting our care to our expertise.

The networking can be world wide and enables all doctors to learn this new system.

Those physicians will be able, if they choose, to learn our system and become one of the centers of excellence whose BPro data we will collect. From these data we will draft medical papers that will be published and show the world how this system reverses the “failing report card” of hypertension. Patients managing the research on their own disorder! How unusual!

Although I am not sure we can use all the coupons outside the US, take a look, by clicking on the above, at the savings you can get. Just today I was told about another $500-$700 yearly saving with a new medication that merely bundles two of the medications we use all the time. Although we don’t usually stay with prescription drugs for long, the pharmaceutical companies are now realizing that medications that work so well with the Proargi9 plus that they can be discontinued are really the ones that everyone wants to take first. The first 200 patients to sign up get the ProArgini9 plus! They really have a deal.

More soon on hypertension; there is a major amount to learn about blood pressure and when you know principles it’s easy.

Dr. Joe, the Diabetes Doctor

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Thursday, June 12, 2008

Oxidative Stress and Hypertension

Mouse over the video, or right click, to activate the controls. This video is 1:21 minutes. You will need the Free QuickTime Player to view it. Additional help for Mac users.

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Saturday, May 03, 2008

D3 deficiency and Hypertension

Mouse over the video, or right click, to activate the controls. This video is 1:20 minutes. You will need the Free QuickTime Player to view it. Additional help for Mac users.

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Wednesday, April 23, 2008

New Hypertensive Evaluation

Mouse over the video, or right click, to activate the controls. This video is 2:22 minutes. You will need the Free QuickTime Player to view it. Additional help for Mac users.

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Saturday, April 12, 2008

Angiotension

Mouse over the video, or right click, to activate the controls. This video is 1:34 minutes. You will need the Free QuickTime Player to view it. Additional help for Mac users.

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Wednesday, April 02, 2008

Renin

Mouse over the video, or right click, to activate the controls. This video is 3:13 minutes. You will need the Free QuickTime Player to view it. Additional help for Mac users.



Renin

This is the central player that is important in most people with high blood pressure (hypertension). There is a new blood pressure medication that partially blocks this enzyme, called Tekturna (aliskiren).

http://www.tekturna.com/index.jsp

This video was developed by the company has this site to tell you about how the new drug works. It’s good, very accurate and tells the story in a scientifically accurate but friendly fashion.

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Monday, December 17, 2007

Hypertension and the Risk of Mild Cognitive Impairment

Mouse over the video, or right click, to activate the controls. This video is 1:49 minutes. You will need the QuickTime Player to view it. Additional help for Mac users.



Christiane Reitz, MD, PhD; Ming-Xin Tang, PhD; Jennifer Manly, PhD; Richard Mayeux, MD, MSc; José A. Luchsinger, MD, MPH
Arch Neurol.2007;64(12):1734-1740.

Objective: To explore whether hypertension is associated with the risk of mild cognitive impairment (MCI), an intermediate stage of dementia, because there are conflicting data relating hypertension to the risk of Alzheimer disease.

Design and Setting: Prospective community-based cohort study conducted in northern Manhattan. Multivariate proportional hazards regression analyses were used, relating hypertension to incident all-cause MCI, amnestic MCI, and nonamnestic MCI in 918 persons without prevalent MCI at baseline followed up for a mean of 4.7 years.

Results: There were 334 cases of incident MCI, 160 cases of amnestic MCI, and 174 cases of nonamnestic MCI during 4337 person-years of follow-up. Hypertension was associated with an increased risk of all-cause MCI (hazard ratio, 1.40; 95% confidence interval, 1.06-1.77; P?=?.02) and nonamnestic MCI (hazard ratio, 1.70; 95% confidence interval, 1.13-2.42; P?=?.009) after adjusting for age and sex. Both associations were slightly attenuated in models additionally adjusting for stroke and other vascular risk factors. There was no association between hypertension and the risk of amnestic MCI (hazard ratio, 1.10; 95% confidence interval, 0.79-1.63; P?=?.49). Consistent with this association, hypertension was related with the slope of change in an executive ability score, but not with memory or language score. There was no effect modification of the association between hypertension and MCI by APOE4 genotype or use of antihypertensive medication.

Conclusions: A history of hypertension is related to a higher risk of MCI. The association seems to be stronger with the nonamnestic than the amnestic type of MCI in the elderly. These findings suggest that prevention and treatment of hypertension may have an important impact in lowering the risk of cognitive impairment.

Author Affiliations: The Gertrude H. Sergievsky Center (Drs Reitz, Tang, Manly, Mayeux, and Luchsinger), the Taub Institute for Research on Alzheimer's Disease and the Aging Brain (Drs Manly, Mayeux, and Luchsinger), Departments of Neurology and Psychiatry (Dr Mayeux) and Medicine (Dr Luchsinger), Columbia University College of Physicians and Surgeons, and Departments of Biostatistics (Dr Tang) and Epidemiology (Dr Mayeux), Mailman School of Public Health, Columbia University, New York, New York.

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Sunday, October 07, 2007

Hypertension and Memory

Mouse over the video, or right click, to activate the controls. This video is 3:00 minutes. You will need the QuickTime Player to view it. Additional help for Mac users.

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Wednesday, April 25, 2007

Aldosterone Induced Hypertension

Dr. Joe has recorded another video.(5:22 minutes) Mouseover the picture to view the video controls.

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Monday, October 23, 2006

Hypertension Entering the Second Century of Measurement

Click here to listen to Dr. Joe's E-News. (3:30 min)

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