ROSS:
WELCOME BACK.
NOW EVERY OTHER
LOOK AT A HEALTH ISSUE
OR CONCERNS THAT ARE
EFFECTING MANY PEOPLE,
BREAKING DOWN THE
INFORMATION FOR YOU AND
TELLING YOU WHAT YOU
HEALTHY.
DR. KALANI BRADY FROM
THE JOHN A. BURNS SCHOOL
WITH THIS WEEK'S TOPIC
WHICH IS CHECKING YOUR
BLOOD PRESSURE.
AND, DOCTOR, FROM WHAT I
WAS UNDERSTANDING, IT'S
ALSO KILLED THE SILENT
KILLER.
IT IS.
HIGH BLOOD PRESSURE IS
ONE OF THE MAJOR RISK
FACTORS FOR BOTH HEART
NUMBER ONE KILLER BOTH
IN HAWAI'I AND THE
UNITED STATES AS A WHOLE
AND STROKE WHICH IS THE
NUMBER THREE KILLER IN
HAWAI'I.
SO HIGH BLOOD PRESSURE,
ALTHOUGH YOU CAN'T FEEL
IT MUCH OF THE TIME, IS
CERTAINLY A RISK FACTOR
THAT WE SHOULD CONTROL
ON A REGULAR BASIS SO WE
DON'T GET A STROKE.
ONCE YOU HAVE A STROKE,
IT'S PRETTY SERIOUS.
SO YOU TALK ABOUT
PEOPLE DOING THE HOME
BLOOD PRESSURE.
WHY SHOULD THEY BE DOING
THAT?
DOCTORS ARE
RECOMMENDING PATIENTS DO
HOME BLOOD PRESSURE
MONITORING MORE AND MORE
FREQUENTLY THESE DAYS.
THE REASON IS THERE ARE
HOME BLOOD PRESSURE
MONITORING WHICH ARE
MORE ACCURATE THAN THE
DOCTOR'S OFFICE.
THERE IS A DISEASE
CALLED WHITE COAT
HYPERTENSION WHICH IS
PATIENT GOES INTO THE
DOCTOR'S OFFICE,
EVERYBODY'S WEARING A
WHITE COAT, THE DOCTOR'S
OFFICE CAUSES ANXIETY,
THE BLOOD PRESSURE GOES
UP 20 POINTS MORE THAN
IT EVER IS AT HOME.
AND ALSO THERE ARE OTHER
BLOOD PRESSURE DISEASES
WHERE THE BLOOD PRESSURE
IS LOWER IN THE DOCTOR'S
OFFICE SUCH ASTHMAS
CANNED HYPERTENSION THAN
IT IS AT THE HOME IN THE
ACCURATE WAY.
NOW THERE ARE ACTUALLY
DOCTORS WHO DEVELOPED
COMPUTER PROGRAMS THAT
YOU TAKE YOUR BLOOD
PRESSURE AND THE BLOOD
PRESSURE COMES INTO THE
DOCTOR'S OFFICE.
BUT YOU CAN ALSO GO TO A
DRUG STORE, YOUR
FRIENDLY NEIGHBORHOOD
DRUG STORE, OR MEDICAL
SUPPLY SHOP, AND GET A
BLOOD PRESSURE CUFF AND
TAKE YOUR BLOOD PRESSURE
AND WRITE IT DOWN AND
THAT'S A LOW EXPENSE
ALTERNATIVE TO THE HIGH
EXPENSE COMPUTER
RECORDING.
SO IF YOU'RE AT HOME,
WHAT DO YOU NEED TO READ
YOUR BLOOD PRESSURE?
A BLOOD PRESSURE CUFF
WHICH IS THIS.
OKAY.
AND IN ADDITION TO
THE BLOOD PRESSURE CUFF,
A SET OF EARS.
WE CALL THIS
STETHOSCOPE.
SO THE CUFF AND A
STETHOSCOPE.
YOU TOLD ME TO TAKE
YOU'RE GOING TO SEE IF I
ACTUALLY HAVE A HEART
BEAT.
WE'RE GOING TO CHECK
FOR YOUR HIGH BLOOD
PRESSURE AND WE HAD THAT
QUESTION, ROSS, EARLIER
TODAY.
I HEAR MY HEART IN MY
LEFT EAR.
WELL, THIS WILL BE A WAY
OF HEARING WHETHER YOUR
BLOOD PRESSURE IS TOO
HIGH AND THAT'S CAUSING
THE NOISE.
CAN YOU EXPLAIN TO
EVERYBODY OUT THERE WHAT
MASKED HYPERTENSION IS?
YES, MASKED
HYPERTENSION, ROSS, IS
WHEN THE BLOOD PRESSURE
IS ACTUALLY HIGHER AT
HOME THAN IT IS IN THE
DOCTOR'S OFFICE.
IT'S THE OPPOSITE OF
WHITE COAT HYPERTENSION,
AND SO THE BLOOD
PRESSURE AT HOME IS
PROBABLY MORE ACCURATE
IF TAKEN FREQUENTLY
ENOUGH TO GIVE US AN
ESTIMATE OF WHAT WE
SHOULD TREAT WITH
MEDICATIONS WHEN WE HAVE
THE DISEASE HIGH BLOOD
PRESSURE.
BLOOD PRESSURE
@MEDICATION IN THE
MORNING AND EVENING .
UNDER 130 OVER 80.
SO WE PUT THE CUFF ON.
YOUR HAND GOES UP.
THAT'S RIGHT.
HEART BEAT, SOME
PEOPLE ARE SAYING I
DON'T HAVE A HEART.
WE'RE GOING TO HAVE
YOU HOLD THIS.
OKAY.
HOW OFTEN SHOULD PEOPLE
BE TAKING THEIR BLOOD
PRESSURE?
TWICE IN THE CKRNING
AND TWICE IN THE
EVENING.
BLOOD PRESSURES IN THE
MORNING, EARLY MORNING
HOURS, RISE WHICH CAUSES
AN INCREASE IN E.R.
VISITS FOR STROKE AND
HEART ATTACK IN THE
EARLY MORNING HOURS, BUT
BLOOD PRESSURES IN THE
EVENING ARE SHOWN BY
RESEARCH TO CAUSE RISK
FACTOR FOR KIDNEY
FAILURE OVER THE COURSE
OF TIME AS WELL AS HEART
DISEASE.
OKAY.
AND APPARENTLY YOUR
BLOOD PRESSURE CAN GO UP
AND DOWN THROUGH THE
DAY, DEPENDS ON WHAT
YOU'RE EATING AND SO
FORTH.
THAT'S RIGHT.
AND, ROSS, LET'S TAKE A
TEST.
I KNOW YOU KNOW THE
ANSWER TO THIS.
WHAT CAUSES A HIGH BLOOD
PRESSURE TO GO UP WITH
DIET?
LET ME SEE.
HAS TO BE SALT, RIGHT,
MSG.
YOU GOT IT.
AND EXERCISE OF
COURSE INCREASES BLOOD
PRESSURE.
IT DOES TEMPORARILY.
THE CUMULATIVE AFFECT OF
AEROBIC EXERCISE IS TO
DECREASE YOUR HIGH BLOOD
PRESSURE.
SO AEROBIC EXERCISE AND
WEIGHT LOSS, IF
APPROPRIATE, WILL HELP
DECREASE YOUR BLOOD
PRESSURE.
IS THERE A HEART BEAT
THERE?
THERE IS.
AND ANYTHING UNDER
130 OR 140.
130 OVER 80 OR LESS.
AND YOURS IS JUST FINE.
OKAY.
SO I GOT OKAY BLOOD
126 OVER 76.
STRESS ALSO CAUSES,
TV CAUSES.
EVERYBODY HAS STRESS.