Thirty percent of human population has a high blood pressure and everyone has a 90% risk to acquire it during the rest of the life. As a result, half of all human deaths are due to the major complications of high blood pressure, mainly stroke and heart attack.
Medical scientists are fighting this life-threatening disease and they have " >
Over two hundred thousand records of doctors. Find General Physicians, Dentists, General Cosmetologists, Hair Cosmetologists, Family Therapists, Eye Doctors, and others online.
---------------------------
Samsung Hospital
samsunghospital.com
Seoul Samsung Hospital is a state-of-the-art hospital and medical center in Seoul, South Korea. It is also the teaching hospital for medical students in Sungkyunkwan University School of Medicine. It opened on November 9, 1994, and has over 4,000 employees.
---------------------------
Gillies Hospital, NZ
gillieshospital.co.nz
Gillies Hospital is a private surgical hospital that is a joint venture between Surgical Group Ltd (a group of specialist surgeons) and Southern Cross Hospitals Ltd. There has been a private hospital on this site, 160 Gillies Ave Epsom, Auckland since 1943.
---------------------------
Kobe Kaisei Hospital
kobe-kaisei.org
Kobe Kaisei Hospital is located in Kobe in Japan. It is a multispeciality hospital with state-of-art technology. Please contact on phone - (817) 8871 5201.
---------------------------
World Doctors Directory -World's largest resources of General Practitioner, Dentist, Cosmetologist, Optician, physical Therapist, Family Therapist, Veterinarian databases
Extended Reading.....
Five Secrets of High Blood Pressure Treatment
Thirty percent of human population has a high blood pressure and everyone has a 90% risk to acquire it during the rest of the life. As a result, half of all human deaths are due to the major complications of high blood pressure, mainly stroke and heart attack.
Medical scientists are fighting this life-threatening disease and they have gained some success. That is the development of several classes of antihypertensive drugs and definition of "normal" levels of blood pressure that should be maintained to reduce the risk of cardiovascular complications and death.
Is it a great success? Unfortunately not. Pharmaceutical treatment can not reverse the disease. The patient with developed arterial hypertension can only hope to reduce the risk of high blood pressure complications. How big is this risk reduction? Relative risk reduction is less than 25% during 2-5 years for all major cardiovascular complications. It is higher for stroke (36-45%) and less for heart attacks (10-15%). When all risks are combined, the relative risk reduction is close to 25%.
Be careful and distinguish absolute and relative risk reductions. Papers and pharmaceutical ads always present relative risk reduction which is more impressive. They even do not mention that it is "relative". That is because the absolute risk reduction could be as much as 0.2-2.0%. Does not impress you, right? Let's take a clinical trial where 0.6% and 0.96% of patients had had fatal stroke in the treatment group and placebo group accordingly. Absolute risk reduction will be 0.96% - 0.60% = 0.36%, however relative risk reduction will be as much as (0.96% - 0.6%)/0.96% = 37.5%! Looks much better! Absolute risk reduction 0.36% means that from one thousand patients taking medication during 3-5 years, three or four could be saved from fatal stroke. Clinical trials don't say what will happen with those saved patients after 5 years. Presumably, the risk is postponed towards after 5 years period. Clinical trials also do not say which particular patients will be saved. It is like lottery, it could happen that 4 saved patients is just a difference between 44 saved and 40 preliminary died due to pharmaceutical side effects. Vioxx, Celebrex, Baycol are the known examples.
As you see everyone has to pay for this risk reduction not only by inconvenience and cost of pharmaceuticals, but also by the risk of unpleasant or life-threatening side effects. For the patients with high estimated risk (more than 10% during 5 years or more than 20% during 10 years) this price is considered to be a worth-while to pay.
Estimated risk is calculated by doctor. Taking the patient's age and blood pressure level, plus the presence of risk factors, such as smoking, diabetes, high cholesterol, obesity, atherosclerosis and renal dysfunction, doctor can say that the risk for the cardiovascular complications of high blood pressure during 5, 10 or 20 years will be certain amount of chances For example, smoking woman, aged below 65, with abdominal obesity (waist more than 102cm) and blood pressure 140-179/90-109 mm Hg will have 15-20% absolute risk of all cardiovascular events at 10 years. Just add one more risk factor (diabetes or high cholesterol) and the risk goes up to 30%. This is high risk and the treatment is definitely required.
For the patients with initial stages of hypertension and low risk the balance between benefits and drawbacks of antihypertensive drugs is not established. There are three reasons for being reluctant to start taking antihypertensive drugs without having 10% estimated risk of cardiovascular complications.
Reason one: absolute risk reduction from, let's say, 7 % to 5 % does not look sufficient to justify long-term expensive, unsafe and inconvenient treatment.
Reason two: even if we decide to operate the relative instead of absolute risk reduction, we CAN NOT do this, because available clinical trials have demonstrated risk reduction for the high risk patients and can not be extrapolated to the low risk patients. Clinical trials on low risk patients were not performed and we do not know if the harm of the treatment overbalances the benefit.
Reason three: negative side effects of antihypertensives are well known and includes lipid, hormonal disturbances including development of diabetes. We know that for the high risk patients (read - low life expectancy) the danger from the drug treatment is less than the benefit, but we do not know and we can not know without 20-30 years studies if it is the case for the low risk patients.
That is why official guidelines do not recommend starting drug treatment at the early stage of hypertension. Modern pharmaceutical treatment can not prevent or reverse the disease; it needs to be taken for life-long to maintain blood pressure at the recommended level.
What about non-pharmaceutical treatment?
The treatment guidelines include the following non-pharmaceutical recommendations.
1. Stop smoking
2. Reduce body weight
3. Aerobic physical exercise of 30-40 min, at least 3-4 days per week
4. More fruits, vegetables and potassium, and less sodium
5. Alcohol intake not more than 20-30 g of "pure alcohol" per day (it corresponds to 150-200 ml of wine or a pint of beer)
6. Reduce stress
These non-pharmaceutical approaches have a proven efficacy in the reduction and prevention of high blood pressure. But they require substantial perseverance and will-power to comply with.
You should know how much effort is required to follow dietary restrictions or to stop smoking recommendations. Low compliance with these recommendations is usually accompanied by low compliance with drug therapy.
For people who want to be healthy and prevent or at least control this dangerous disease, there is a good news. Non-pharmaceutical recommendations really work; you will definitely reduce your risk by following them.
But people want more. People want the treatment that can effectively reverse the disease. The way to success here is in the proper coping with stresses. Stress causes activation of sympathetic system. Chronic activation of sympathetic system causes hypertension and obesity. Four out of six classes of antihypertensive drugs are designed to act upon sympathetic system.
Can we manage stress and accompanied sympathetic activation without drugs? The task is not easy. You may say that effective stress reduction is only possible after radical change of working or family environment. I may add that even after that, the man will be caught by the new stress. The problem is in people's attitude and the ability to cope with stress and to avoid chronic anger. Those who are able, live more than hundred years. The researches on centenarians have demonstrated their unique ability to avoid damaging reactions on the stressful situations.
To select most effective stress-management technique for yourself, I recommend you to try first those having proven blood pressure reducing effect, like yoga, meditation and computerized devices reducing respiration rate. Coping with stress is the obvious way to escape from Number One Killer and to live the full life span we are designed for.
Summary
Five secrets you should know about pharmaceutical and non-pharmaceutical treatment of the high blood pressure:
1. Pharmaceutical treatment should be initiated if estimated risk of cardiovascular complications is greater that 10% during 5 years or greater than 20% during 10 years.
2. The real benefit of the treatment is described by the absolute risk reduction which very often is not disclosed.
3. Side effects of the antihypertensive drugs during long-term consumption are common and serious.
4. Non-pharmaceutical treatments of hypertension really work. Although they require much more effort and will-power to implement in compare with daily chemical drugs consumption, they will protect you not only against hypertension, but also against the high cholesterol, diabetes, cancer, obesity and other diseases. Plus you will get better and healthier life, with much more energy and satisfaction.
5. We must learn from centenarians how to escape diseases. Centenarians have innate ability to cope with stress; they are natural stress-shedders. They are not preoccupied with worry, hostility and anxiety. They avoid unhealthy thinking, like anger, sadness, guilt and fear. It is possible to develop such personality with modern stress-management and personal development techniques.
Dr. Alexander Alfimov M.D, Ph.D. has graduated from St. Petersburg Medical Academy in 1987. He has been working for eleven years as a head of clinical research department of the big pharmaceutical company, producing and marketing six antihypertensive drugs.
http://www.slowbreath.com
1.
Stress and Heart Disease
About Stress:
The book "Streaa - from burnout to balance", authored by vinay joshi talks about the stress in detail. Simply put '
More >>
2.
Pill to help people live past 100
Coming Soon: A pill that will help you live past 100, says scientists. An international team is on track to develop what it cl
More >>
3.
Joint Pain Relief
If you joints are constantly killing you, here are three suggestions:
1. Traumeel is a product that has been used for years in Germany to rel
More >>
4.
How You Can Erase Low Back Pain Using the Latest Medical Techniques!
"If you're one the nine out of ten adults in the United States who suffers from low back pain, I have good news for you!" states Dr. Nathan Wei, a board-certi
More >>
5.
Eliminate Agonizing Hand Pain Quickly and Easily!
According to Dr. Nathan Wei, "The hand and wrist are the mirrors of disease." While the cause of hand pain can be a localized problem, hand pain can also be the
More >>
6.
Amazing Shoulder Pain Reversing Secrets!
Whether you're a weekend athlete, or a gardener that overdid it, or a person with arthritis, there's hope for you. According to Dr. Nathan Wei, Clinical
More >>
7.
Medication Compliance Kit ... A Life Saver
Pill Proof LLC introduces the first, easy to use medication compliance kit for consumers and medical professionals. Owner, Jane Langdon
More >>
8.
Fifteen Ways to Fight Heel Pain
There are many different causes of heel pain, but the most common cause is plantar fasciitis (plan * tar fash* ee * I * tis). If you experience a sharp pain in y
More >>
9.
Understanding Tumescent Liposuction
Tumescent liposuction is done using a local aesthetic. A large volume of saline solution containing the aesthetic and a drug called "Epinephrine" is injecte
More >>
10.
FDA Orders Search Engines to Stop Online Pharmacies
How Does Online Pharmacies Affect Pharmacy Leaders?
With cheaper drugs made available online, big pharmacy companies are losing control of their monopolistic
More >>
11.
Irritable Bowel Syndrome: Simple Self-Help Tips
If you have been diagnosed with irritable bowel syndrome (IBS), you will know how difficult it is to treat. Doctors can be dismissive of IBS
More >>
12.
Another Cold Sore! Why Me?
An estimated 85 million Americans have acquired the herpes simplex (cold sore) virus. And the majority had received the virus before the age of 3.
"If you have to deal with chronic neck pain, it can be a real struggle. I know? because I've had to do it myself," states Dr. Nathan Wei, a board-certified rheum
More >>
14.
Stem Cell Research
How To Buy Your Way Out Of An Early Death From An Incurable Disease.
How?... With private stem cell research, of course!?Stem cell resea
More >>
15.
Pain in the Butt. How to Deal with Hemorrhoids?
This is very sensitive area of your body. Too private. Nobody likes when something is wrong over there. However it happens.
Onychomycosis - One Of The Many Nail Fungus Out There
Many natural changes in fingers and toenails come with age. Fine ridges, for example, may start developing from the cuticle of the nail tip. This and ot
More >>
17.
Do you suffer from Osteoarthritis? Here?s how to tell!?
The most common type of arthritis is osteoarthritis (OA). This type of arthritis is commonly referred to as wear and tear arthritis or degenerative a
More >>
18.
Five Secrets of High Blood Pressure Treatment
Thirty percent of human population has a high blood pressure and everyone has a 90% risk to acquire it during the rest of the life. As a resul
More >>
19.
CRP And Your Heart
Monitoring your CRP level is vitally important because it is one of the best indicators of heart disease. C-Reactive Protein has proven to be one of th
More >>
20.
Melatonin, Sleep Enhancement, and ADHD
Melatonin is a natural hormone, which is produced and secreted by the pineal gland. Melatonin plays an important role in the regulation of many hormo
More >>
21.
High Cholesterol Prescription Medications Can Kill You
The World Health Organization declares that heart disease is the number one killer worldwide. High cholesterol is a major contributor of hear
More >>
22.
A Look At Acid Reflux Treatment
Heartburn is a by-product of digestion, specifically affecting the esophagus and the stomach. The esophagus is a tube that delivers food into the stomach, an
More >>
23.
Your Kidney Function Really Matters: A Lighter Look at What You Need to Know to Prevent Adverse Drugs
When you (or loved ones) are taking prescription or over the counter medications...there is a lot you should be worried about, and a lot that your ph
More >>
24.
Contact Lenses and Eye Glasses, How is Your Vision?
Notice friends getting contact lenses and pulling out eye glasses?
Heart Disease: The Dangers Of Coronary Heart Attack And How To Avoid It
What is a coronary heart attack?
Are you at the risk of a coronary heart attack?
Here are some insights to help you...
A heart atta
More >>
26.
Causes and Types of Cerebral Palsy
In the case of Cerebral Palsy there is no one cause of this severe condition. There are many things that may increase the risk of this condition but wi
More >>
27.
Stevens-Johnson Syndrome
Stevens Johnson Syndrome (SJS) is a severe and deadly allergic reaction to certain drugs, some proscription and some over the counter, whic
More >>
28.
Over The Counter Drugs: How To Safely Choose The Right Medication
What Medication Can Cure Me?
1. Am I expecting a cure? Some medications relieve symptoms ? that is, they stop the itching,
More >>
29.
Why R.I.C.E.?
What is R.I.C.E. and why do you need it? One of the most recommended icing techniques for reducing inflammation and treating minor injuries is R.I.C.E., an acronym for
More >>
HOME
