Great advise. Thank you

Thank you for this. Video.

What is the absolute rather than relative risk? The Sprint study showed a 1.5 percent risk reduction from 140/90 to 120/80.

The estimate of numbers of people with high blood pressure is flawed. I have never ever seen blood pressure taken correctly in a doctor’s office. Waiting rooms are noisy and medical assistants are rude. They never give you time alone in a quiet room to calm down and meditate. I refuse blood pressure checks for these reasons.

You missed an important factor, stress. I am 78, I don’t smoke, drink, not obese but I have a paunchy tummy. I don’t eat outside food, I am sedentary. My bp is 150-165, 80-90. I say most high blood stems from stress listening to drs mouthing dire warnings. Just live in moderation, do what you enjoy.

@myfamilydoc

Жыл бұрын

Yes stress is definitely an important contributor to blood pressure. But I disagree with the philosophy of "everything in moderation" or "doing what you enjoy." You don't smoke in moderation. Just because it exists doesn't mean we have to do it.

@jamesalles139

11 ай бұрын

moderation in everything - _including moderation!_

Most of our foods, do contain lots of salt. Salt, is very bad for those with high blood pressure. The FDA, has contacted food companies to lower the sodium that they put into our foods. That is a good move, on their part. Even with this, there is still too much salt in our foods. I'm 64 and my cardiologist told me, to keep my blood pressure at 140 and under.

@myfamilydoc

Жыл бұрын

Yes there is definitely too much salt in the American diet. The best way to ensure you aren't eating too much salt is to prepare your own food.

*Another side question* Last year my doctor sent me to the local hospital (Te Kuiti) for X-Rays on both knees and the results came back negative, although my knees sound like rice bubbles - crackling but crunchy. I can hear the crunching sound when I walk, even with stethoscope My doctor and I can hear the noise! What can my doctor and do? Send me to the regional Hospital (Waikato) for a MRI? I live in New Zealand!

Some elderly people over the age of 70 feel giddy and weak after their blood pressure dropped to 120/80

My blood pressure got better on the carnivore lifestyle :)

I wonder if there are any great studies which take one older group(60-80) with moderately high BP(systolic 140-160) but with very good health and lifestyle factors(of course including, but not only(stressmanagment for instance!) your recommendations) and compare their ACM and CV incidences with a same age and same BPlevel group with average health and lifestyle factors( which sadly are far from good as we all know!)? I suspect this should show a significant better ACM for the first group compared to the second one. If i am right you cannot at all regard the first one as BPsick and put them on medications as much as for the second group!

There is no evidence that reducing salt intake is beneficial but in fact it can shorten life expectancy.

@biggiefries4111

Жыл бұрын

Agree, too little salt puts stress on the heart. Stay away from white table salt... Redmond Real Salt is best. Salt to taste, and you're good to go....

@myfamilydoc

Жыл бұрын

That's interesting. Could you share the study you are referring to?

*Side Question* I am not a doctor! A side question *for doctors only* I have had this continuous cough for over two years, my doctor sent me to the local hospital for a chest X-Ray and later a CT scan on my chest and the result came back negative! The so called specialist has not done much! Would a MRI or an endoscope work better, say take an sample _(Biopsy)?_ Apart from a n X-Ray?

My diastolic is always in between 55 and 60. Is this normal ?

I am 68 and suffering from Angina, my BP was high but now I have it under control at around 120/70 on average so it is do-able

With Doc's advice live in a fairytale

How do you define a "high" sodium diet?

@myfamilydoc

Жыл бұрын

Americans eat on average about 3,400 mg of sodium per day. However, the Dietary Guidelines for Americans recommends adults limit sodium intake to less than 2,300 mg per day-that's equal to about 1 teaspoon of table salt! If you have high blood pressure, I would limit sodium to less than 1,500 mg per day.

My bmi is over 30 and I have smoked for 45 years. My doctor just told me to eat more salt cause my blood pressure is too low. I don't know what's going on

@myfamilydoc

Жыл бұрын

If your low blood pressure is causing you to be dizzy or fall, that's a problem. But if you're not having symptoms, the lower your blood pressure the better.

@brucejensen3081

Жыл бұрын

@@myfamilydoc when I was standing up I was getting dizzy, would hold something until it passed. I have been on a diet for quite a while, got all the 5 markers of metabolic health in good range, except blood pressure too low. So I have stopped dieting and my blood pressure seems to be good now

Can excess salt be treated by drinking more water?

@myfamilydoc

Жыл бұрын

That's a good question. I would just avoid the excess salt. Otherwise, trying to drink more water to lower sodium is playing chemistry with your body and would be imprecise and risky.

@evanhadkins5532

Жыл бұрын

@@myfamilydoc Thanks. I do avoid excess salt.

You are extremely fit but how can you help someone who is fine in all the requirements but has never been physically active, other than in "normal" life, now is nearly 80 and it is impossible for her to start let alone maintain the regime you suggest.

@myfamilydoc

Жыл бұрын

we are all meant to be physically active. You can become more active if you build activity into your day, and start slow.

My normal blood pressure is between 115/72 - 117/78, is this normal? Also I heard 120/80 is the maximum blood pressure any over 120/80 is a warning sign, is this true? One time my blood pressure was 90/30, it was tested 3 times, I was prescribed blood pressure medication by a cardiologist, my local GP and I _suggested_ stop taking that prescription!

@brucejensen3081

Жыл бұрын

You must have been getting dizzy when it was that low. Mine is low, my doctor told me to eat more salt, I hope it works

@jonathonshanecrawford1840

Жыл бұрын

@@brucejensen3081 Not never felt dizzy or any of those side effects! I was told, _I don't believe them_ stay away from salt NaCH as its bad for the heart and blood pressure_ What a load of garbage! Sodium _(limited/ not over board)_ helps with stress control, while Chloride is part of what stomach acid is made of! Currently my blood pressure is 117-76 and my heart rate is 50-60 BPM years ago _(2019)_ an exercise tolerance test, my BPM went up to 70-80, while my BP went up to 179/79! It rarely goes above/near 120/80 like my BPM up 60 some times 70 BPM

@myfamilydoc

Жыл бұрын

A blood pressure of less than 120mmHg is ideal. But the evidence for mortality is really that you're blood pressure only becomes a risk factor when your systolic is ≥ 130mmHg.

@jonathonshanecrawford1840

Жыл бұрын

​@@myfamilydoc Shouldn't a person _(adult)_ blood pressure be ≤ 120/80 and ≥ 90/30 regardless of age? 18+

@brentpope100

Жыл бұрын

@@jonathonshanecrawford1840 I have done a lot of research on this and it seems it differs, the national heart health guidelines is as you say is 120/80 but the advice to Drs is under 130/80. So I guess its who you believe, also i sometimes think Big Pharma wants to sell us more statins, which is dangerous. For me at 62 I think maybe I aim for about 125/80 ?

Do you have mortality rates of those Venezuelan natives? What is their average life span and what do they generally die from?

@Alan_Clark

Жыл бұрын

On the chart none of them is over 60! According to Wiki they have been badly affected by the influx of gold miners, resulting in mercury poisoning, malaria, malnutrition and violence.

@myfamilydoc

Жыл бұрын

That's a good question. I couldn't find what you're asking for. But the bottom line is that rising blood pressure as we age is NOT inevitable.

@set3777

Ай бұрын

@@myfamilydoc Japanese wisdom says normal BP is 90+age in mmHg. What do AHA people know when Americans have proven themselves to have shorter life expectancy than Japanese people?

Shouldn't a person (adult) blood pressure be ≤ 120/80 and ≥ 90/30 regardless of age? 18+

I have Hypo-tension. Should I minimize my salt intake?

@myfamilydoc

Жыл бұрын

Really it depends on what you mean by hypotension. If your hypotension is just a number on the machine, you should be happy with a low number. If on the other hand, you have symptoms of low blood pressure like dizziness or falls, then I would speak to your doctor about what to do.

You have LOW blood pressure as 87/54 is extremely low and dangerous. You may have fainting spells and can fall without notice.

@pastryshack551

Жыл бұрын

Hey Michael, he is the expert so let him be, but I say the numbers mean nothing to me. I go about life not worrying about pressure, high cholesterol or anything these experts tell me. My family member is a dr. And I hear nothing but nonsense, but of course I quit school at 16 so who will listen to a drop out. But I say to them a very healthy 77 year old dropout who can still lift a jemijohn of red wine which I make. I am off to bottle it now. Just live your life. We all know what we have to do if we want to we can, no one has to tell us.

@donayar3904

Жыл бұрын

doctor is sick 87 54

@myfamilydoc

Жыл бұрын

Actually a low blood pressure is optimal for health.

I do not fit into any of those categories but still I have my BP higher than 130

@myfamilydoc

Жыл бұрын

If your systolic blood pressure is ≥ 130mmHg, you have hypertension.

87/54 impressive👍

@brucejensen3081

Жыл бұрын

No that is too low.

@tictoc5443

Жыл бұрын

@@brucejensen3081 why?

@brucejensen3081

Жыл бұрын

@@tictoc5443 anything 90/60 to 120/80 is impressive. Yours is a bit low, a little bit more salt should put you in the impressive range. Mine is low too, I get head spins when I stand up at times. I am trying eating more salt, don't want to go on blood pressure medication to raise it. When it's below impressive range, you are at a greater chance of developing blood clots

@tictoc5443

Жыл бұрын

@@brucejensen3081 thanks

The proof is in the pudding. You are heart healthy because you are a health nut. You live not to have a life, but to be alive for a longer time. Whatever works for you isn't necessarily what works for the rest of us, quality matters. 🤔

Around the 12:30 mark when he said “45.4% is one in five (it’s more than two in five) I decided to look elsewhere. I can’t understand how one can get through medical school and fail at basic math... ...and who cares about the “all cause mortality” of a tribe living in the jungle. Modern people don’t die nearly as often from snake bites or being eaten by a jaguar. This video highlights how ridiculous modern medicine has become such as the AMA’s insistence that BP should be 120/80 regardless of age because the medal platforms in track and field sports are being dominated by athletes in their 70s. Come on. Let’s get real.