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Community health care leaders met in May to discuss high blood pressure in our community, and how we have a lot of people experiencing complications from untreated or undertreated high blood pressure. We have excellent hospitals, clinic systems and primary care physicians in our community. We have an engaged public health department and multiple clinic locations for uninsured members. We have a fully accredited heart hospital and excellent cardiologists. We have many primary care clinics who have received patient-centered medical home certification and have processes in place to screen for and treat high blood pressure. So why do we still have a lot of people in our community with undertreated high blood pressure?
Some people simply have not been screened. High blood pressure often offers no symptoms, and patients do not know how their blood pressure is doing simply based on the way they feel. Sometimes people will only go to the doctor when they are sick, and often they assume that their elevated blood pressure was because they did not feel good and are not due to true blood pressure problems. This is a dangerous assumption, and reduces our ability to intervene.
Many pharmacies provide free use of blood pressure machines that are fairly accurate. Ideally, the person would sit at the blood pressure station for 5 minutes to be sure their resting heart rate and blood pressure goes back to its normal value, especially if they walked a lot around the store. If their blood pressure is high after sitting for three to five minutes and the person is not sick or in pain, chances are they truly do have high blood pressure that is not being treated as well as it should be.
Other challenges we have in our area are a high smoking rate and a diet that is high in fat and salt. We also have high obesity rates. All three of these things — smoking, diet and obesity — are risk factors for high blood pressure. Ideal treatment of high blood pressure would not just involve the use of medications, but would also encourage healthy eating behaviors and exercise.
It is important for patients to be informed about what untreated and undertreated high blood pressure can do. This can lead to strokes, heart failure, heart attacks, kidney failure, poor leg circulation, sexual side effects in men and other long-term problems. Common causes of death from long-term, undertreated high blood pressure are heart attacks and strokes. The tricky thing is that these complications do not always occur right away, and patients feel a reduced sense of urgency to treat their blood pressure problems. Sometimes the heart attack or the stroke was caused by years of missed opportunities to treat the high blood pressure when it could have made a difference.
There are many blood pressure medications on the $4 medication discount list at several local pharmacies. Treatment of high blood pressure is often inexpensive, yet many patients simply do not know where to go nor understand why it is important to take their medication. Even though we have many clinics that will see patients at reduced or no cost if they are uninsured, patients do not know that these clinics exist or understand how to access them.
While blood pressure targets are adjusted based upon a person’s risk factors, a good rule of thumb is that normal blood pressure is 120/80, and most doctors agree treatment is needed if the blood pressure stays over 140/90. What is your blood pressure? If you do not know your blood pressure, then please get screened ASAP, either at a local clinic or using a blood pressure machine at a local pharmacy. If your blood pressure is high and you do not know how to access locations for care, please call the Center for Healthy Living at 903-593-7474, or visit it from 8 to 11:30 a.m., and from 1:30 to 4:30 p.m. Monday through Friday. You can receive a free blood pressure reading and get connected to other local health resources that will help you control your high blood pressure.