Millions Of Americans May Be Affected By New Blood Pressure Guidelines

INTRO: Recently, two major changes were made in the guidelines that recommend how physicians manage high blood pressure in their patients. The changes affect millions of Americans, especially older adults and people with diabetes and chronic kidney disease. A new study examined the number of adults affected by these changes. Catherine Dolf explains in this week’s JAMA Report.

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Mary getting blood pressure checked, cu of Mary, cu of blood pressure monitor

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AT 71, MARY FOSTER LOST HER PARENTS AT AN EARLY AGE. THEY BOTH HAD HIGH BLOOD PRESSURE AND DIED OF A STROKE.

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SOT/FULL Super@:07 Mary Foster – Blood Pressure Patient Runs:08

“I think back on my mother and my father and my family history so I have to still keep my blood pressure on a controlled level.”

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Graphic: New BP Guidelines; doctor pointing to guidelines; Previous goal 140/90, New goal 150/90

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NEW GUIDELINES RECENTLY CHANGED RECOMMENDED BLOOD PRESSURE TARGETS FOR PEOPLE OVER AGE 60. THE PREVIOUS GOAL: LESS THAN 140 OVER 90. THE NEW GOAL: LESS THAN 150 OVER 90.

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SOT/FULL Super@:25 Ann Marie Navar-Boggan, M.D., Ph.D. – Duke University Medical Center Runs:13

“In the past, adults with diabetes and chronic kidney disease were recommended to have a blood pressure of less than 130 over 80. Under the new guidelines, their goal was raised back to 140 over 90.”

(Video covering 2nd half of the bite: Mary getting blood pressure checked)

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Dr. Navar-Boggan walking with colleague, looking at computer

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DR. ANN MARIE NAVAR-BOGGAN FROM DUKE UNIVERSITY MEDICAL CENTER AND CO-AUTHORS STUDIED BLOOD PRESSURE DATA FROM A NATIONAL SURVEY. RESEARCHERS DETERMINED THE NUMBER OF ADULTS WHO CHANGED CLASSIFICATIONS BASED ON THE NEW GUIDELINES.

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SOT/FULL Super@:50 Ann Marie Navar-Boggan, M.D., Ph.D. – Duke University Medical Center Runs:12

“About 13 and a half million Americans under the old guidelines would have been considered to have uncontrolled blood pressure. Now under the new guidelines, they’re actually meeting blood pressure goals.”

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JAMA COVER

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THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

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SOT/FULL Super@1:05 Ann Marie Navar-Boggan, M.D., Ph.D. – Duke University Medical Center Runs:15

“1 in 4 adults over the age of 60 with hypertension are being treated to older more stringent blood pressure goals. These adults may now be eligible for either reduced therapy or different therapy.”

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Nurse taking blood pressure

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THE GUIDELINES ARE SOMEWHAT UNCLEAR ABOUT HOW THESE PATIENTS SHOULD BE TREATED.

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SOT/FULL Super@1:23 Ann Marie Navar-Boggan, M.D., Ph.D. – Duke University Medical Center Runs:10

“Many experts fear that raising the overall blood pressure level in this group may cause harm and increase the rates of things like stroke and heart disease.”

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People walking in the community

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EVEN UNDER THE NEW LESS STRINGENT GUIDELINES, RESEARCHERS SAY ABOUT 44 PERCENT OF ADULTS IN THE U-S TREATED FOR HIGH BLOOD PRESSURE, STILL DON’T HAVE IT UNDER CONTROL.

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SOT/FULL Super@1:41 Ann Marie Navar-Boggan, M.D., Ph.D. – Duke University Medical Center Runs:12

“It’s important for patients to talk to their doctors about how the new guidelines change the recommended blood pressure levels for them and what are the potential risks and benefits for having a higher blood pressure.”

(Video covering 2nd part of bite:Dr. Navar-Boggan walking into exam room to see Mary)

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Mary talking with Dr. Navar-Boggan

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MARY PLANS TO TALK WITH HER DOCTOR BUT FOR NOW WILL STAY ON HER MEDICATION.

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SOT/FULL Super@1:57 Mary Foster – Blood Pressure Patient Runs:05

“Once your blood pressure is under control you feel a lot better, you know lot better.”

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Mary and Dr. Navar-Boggan talking

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CATHERINE DOLF, THE JAMA REPORT.

TAG:RESEARCHERS SAY THOSE WHO WROTE THE NEW GUIDELINES WERE NOT UNANIMOUS ON RAISING THE BLOOD PRESSURE TARGET FOR ADULTS OVER 60.