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Welcome back to Mayo Clinic radio I'm Dr shivs, and I'm Traci McCray last month the American College of Cardiology and the American Heart Association announced new blood pressure guidelines again and that will significantly increase the number of Americans who according to the new numbers have blood pressure that's too high the committee that drafted the new guidelines substantially lowered the blood pressure range of what is now considered normal that means that people whose blood pressure used to be considered prehypertension or high normal will now be considered elevated blood pressure or stage 1 hypertension this change will affect more than 30 million Americans so why the new guidelines and what does it mean here to discuss the new guidelines as Mayo Clinic nephrologist Dr Sandra Taylor Dr Taylor is also a member of the writing committee that drafted the new guidelines welcome to the program Dr Taylor it's nice to meet you thank you it's nice to be here, so you change the finish line or the low bar or the high bar however you want to put it and it kind of changes the race a little yeah it's not a race and I think there's solid evidence to support lower levels for blood pressure goals for people who have normal blood pressure and people who have elevated blood pressure, so you've pretty much changed the whole definition of what is high blood pressure yes this is a big deal this guideline it's the first guideline in 14 years on a national level that has endorsement from multiple different professional organizations that are expert include experts in high blood pressure, so it's a big deal, and it's almost you could say overdue you were you're kind of on the hot seat though aren't you I mean you were on the committee that wrote the new guidelines and has there been some pushback has there been some controversy about the new guidelines well I think it's early the comments that I hear from people around me are I better watch my blood pressure a little more maybe you know this is something important that I need to pay attention to I've had patients that I see push back a little when I say that a normal blood pressure is you know less than 120 and that if they have blood pressure above 130 that is appropriate to be treated, so I think that patients the public will need to understand what this is about, and it may take a little time to get used to well it also just gets it on people's radar about blood pressure it's a good conversation to have so what exactly or what causes high blood pressure yeah first I don't think we totally know high blood pressure is more likely as you age, and it occurs with age in societies that eat a high salt diet, so presumably there's some relationship between sodium or salt intake and stiffening blood vessels that causes high blood pressure it tends to run in families but even if you don't have it in your family if you live long enough you're likely to develop high blood pressures, so you could almost consider it a...
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