New Blood Pressure Guidelines: Should Your Mom Seek Treatment?

New Blood Pressure Guidelines

Hello Dr.
Wu: I recently saw an article stating that Taiwan has decided to follow the standard of 130/80 mmHg for blood pressure starting last month.
My mother (56 years old) is in stage 1 breast cancer, and her blood pressure is consistently in the 130s.
Additionally, her cholesterol is around 230.
Do you think she needs to seek medical treatment for this? Thank you!

E, 30~39 year old female. Ask Date: 2022/06/24

Dr. Wu Xueming reply Cardiology

Please pay attention to your diet (low salt and low oil) and engage in regular exercise.
Additionally, monitor your blood pressure regularly and have blood tests done.
If blood pressure and cholesterol levels cannot be lowered, consider starting medication therapy.

Reply Date: 2022/06/24

More Info

In light of the recent updates to blood pressure guidelines, particularly the new threshold of 130/80 mmHg, it is essential to evaluate your mother's health status comprehensively. At 56 years old and with a history of stage I breast cancer, her blood pressure readings consistently in the 130s, along with a cholesterol level of 230 mg/dL, warrant careful consideration.

Firstly, it is important to understand that the new guidelines suggest that blood pressure readings at or above 130/80 mmHg are classified as hypertension. However, the decision to initiate treatment should not be based solely on these numbers. Instead, it should take into account her overall health, medical history, and any potential risk factors for cardiovascular disease.

Given your mother's history of breast cancer, it is crucial to consider the implications of her blood pressure and cholesterol levels on her overall health. Elevated cholesterol can contribute to cardiovascular risks, which may be exacerbated by hypertension. Therefore, monitoring her blood pressure and cholesterol levels regularly is advisable. Lifestyle modifications, such as a heart-healthy diet low in sodium and saturated fats, regular physical activity, and weight management, can significantly impact both blood pressure and cholesterol levels.

If lifestyle changes do not lead to improvements in her blood pressure or cholesterol levels, it may be necessary to consider pharmacological interventions. The decision to start medication should involve a discussion with her healthcare provider, who can assess her individual risk factors, including her cancer history, and determine the most appropriate course of action.

In addition to blood pressure and cholesterol management, it is also essential to monitor for any symptoms that may indicate worsening health, such as headaches, dizziness, or chest pain. If she experiences any of these symptoms, it would be prudent to seek medical attention promptly.

Furthermore, regular follow-ups with her healthcare provider are vital to reassess her condition and adjust treatment plans as necessary. This is particularly important given her cancer history, as certain medications may interact with her cancer treatment or have implications for her overall health.

In summary, while your mother's blood pressure readings fall within the new guidelines for hypertension, the decision to seek treatment should be based on a comprehensive evaluation of her health status, including her cancer history and cholesterol levels. Lifestyle modifications should be prioritized, and if necessary, medication can be considered in consultation with her healthcare provider. Regular monitoring and follow-up are crucial to ensure her health remains stable and to address any emerging concerns promptly.

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