Did you wake up with high blood pressure on Monday? 

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Were you one of several million Americans who woke up with high blood pressure on Monday? The American College of Cardiology and the American Heart Association released new blood pressure guidelines on November 13, 2017.  The goal is to enhance awareness about elevated blood pressure and emphasize the importance of managing elevated blood pressure through healthy lifestyle changes and medications with the ultimate goal of reducing the risk of heart disease and stroke (cardiovascular disease). The guidelines have lowered the threshold for the diagnosis of high blood pressure (hypertension) and this change will impact the care of several million Americans.

“I like the excitement and the call-to-action raised by the guidelines,” explains HCMC cardiologist Dr. Woubeshet Ayenew, “and I give it a score of A for the educational aspect; however, I have to give it a lower grade when it comes to the practicality of properly measuring blood pressure and implementing the guidelines in daily clinical practice.” Continue reading “Did you wake up with high blood pressure on Monday? “

Middle-aged men face new health challenges

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As men get older, they tend to face many new health problems in a short period of time, says HCMC’s Dr. Bryan Nelson. Dr. Nelson is a family medicine physician at HCMC’s Golden Valley Clinic, as well as the Medical Director for the BeWell Clinic downtown and the St. Anthony Village Clinic. In a Healthy Matters podcast, he discussed the types of issues men face around the time they hit “middle-age” and what can be done to prevent and treat these problems. One such problem he focused on in the podcast was cholesterol.

“Cholesterol is important for our bodies,” says Dr. Nelson. “The problem is our liver doesn’t usually discriminate on what type of cholesterol gets made. And it tends to be either a genetic issue—or sometimes an age issue—where our liver starts making different types of cholesterol.”

The “good” cholesterol is called high-density lipoprotein (HDL), while the “bad” cholesterol is known as low-density lipoprotein (LDL).

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Dr. Bryan Nelson

“When you get a cholesterol check, oftentimes you also get a level called a triglyceride,” Dr. Nelson explains. “Triglycerides are kind of a marker for how much fat is in your system. So, basically what happens is that your LDL cholesterol plus your triglycerides tend to form atherosclerotic plaques. And atherosclerotic plaques, as time goes on, can break off and cause heart attacks, blockages, memory issues, circulatory problems, and erectile dysfunction.”

So, what can we do about it? “There are medicines—and there are some other things you can do besides medicines—to really help change the balance from the good and bad cholesterol,” says Dr. Nelson.

Most cholesterol medications, called statins, work fairly well. However, according to Dr. Nelson, “they have a tendency to cause muscle aches and you have to watch liver enzymes.” Other types of cholesterol medicines are called resins, and there are some herbal remedies out there as well. Both carry similar risks of side effects, though, and herbal remedies are generally untested. Niacin has also been used in the past, but, according to Dr. Nelson, it is not as good as other treatments that are out there.

To hear the entire podcast from May 31, 2015 go to the podcast on WCCO Radio’s site. Healthy Matters with host Dr. David Hilden airs Sunday mornings at 7:30 a.m. on WCCO Radio 830 AM.