Aim
Low on Blood Pressure
(HealthScoutNews) -- When
it comes to reducing blood pressure, lower is better, says a new
Japanese study.
The researchers presented their findings today at the American Heart
Association's 56th Annual High Blood Pressure Research Conference
in Orlando, Fla.
In people taking a variety
of medications to lower their blood pressure, those whose blood
pressure was reduced to lower than the standard goal also had
reduced stiffness in their arteries. People treated to the standard
goal didn't experience the same improvement in their artery stiffness,
the study says.
"Artery stiffness
is associated with heart disease and death in people with high
blood pressure," says study senior researcher Dr. Atsuhiro
Ichihara of the Keio University School of Medicine, Tokyo.
The researchers used
pulse wave velocity (PWV) to measure vascular stiffness and to
determine if the use of antihypertensive drugs to lower blood
pressure would affect aortic stiffness in nondiabetic people who
had high blood pressure.
PWV is calculated by
determining the distance between the brachial artery in the arm
and the tibial artery in the ankle. That distance is divided by
the time it takes a pressure wave to travel between the two points.
The 142 study participants
were divided into two groups. One group had their blood pressure
reduction target set for less than 130/85 mm Hg and the other
group's target was 140/90 mm Hg.
Normal blood pressure
is less than 130/85 mm Hg.
Over the course of the
yearlong study, systolic (the top number) pressure in the more
intensive target group decreased significantly to 129 mm Hg, while
the more moderate group decreased to 153 mm Hg.
At the start of the study,
PWV averaged 1,779 centimeters per second (cm/s) in the intensive
group and 1,891 cm/s in the more moderate group. By the end of
the study, PWV decreased to 1,621 cm/s in the intensive target
group but there was no significant change in the moderate reduction
group.
"Intensive blood-pressure
lowering is most important for the reduction in PWV. However,
future studies will be needed to confirm which antihyperintensive
drugs are better for aortic stiffness when blood pressure lowering
is achieved," Ichihara says.
More Information
The
National Heart, Lung, and Blood Institute has more on lowering
blood pressure.
Reference
Source 101
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