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For many doctors, and almost all patients, it is not clear whether we should take blood pressure sitting or lying down. Fortunately, a study was recently announced that clarified the best way to measure blood pressure so that we can accurately predict heart disease risk. The study was announced a few days ago at a scientific hypertension conference and has not yet been officially published in a journal, so I have not included the link to the study. The study was done on 11,000 people and the follow-up was for 25-28 years, and among the goals of the study was to examine whether increased pressure when someone is sitting or when they are lying down is more strongly associated with an increased chance of heart attack and heart disease in the future. The study followed the modern ones guidelines that define as hypertension a pressure recording greater than 13 major or 8 minor. It is important to remember that according to modern guidelines, if the high blood pressure reading is 13 and above or the low blood pressure is 8 and above, then a person suffers from hypertension. The researchers recorded the participants' blood pressure both when they were sitting and when they were lying down. They then followed them for several years to see which of the two recordings was associated with future heart attacks and heart disease. Contrary to what many, even doctors, believe, the blood pressure when we are sitting and when we are lying down is different and the difference is not insignificant, nor negligible. The study revealed that a large proportion of subjects who did not have hypertension when sitting, developed hypertension when lying down. Apparently, everyone who had hypertension sitting up also had hypertension lying down. Nevertheless, a large percentage of patients with hypertension were "lost", because while they had hypertension when they were lying down, they did not when they were sitting. This resulted in these patients being exposed to very significant cardiovascular risk because both they and their doctors did not realize the risk because they thought they did not have hypertension. The study showed that people who had high blood pressure while lying down, but did not have high blood pressure when sitting down, had the same risk of heart attack and heart disease as people who had high blood pressure while sitting and lying down. So, the conclusion of the researchers of this study is that the pressure recording should also be done when someone is lying down and we should take this measurement seriously. If the pressure is recorded when someone is lying down and it is elevated, then the person should be considered hypertensive, even if the pressure is normal when they are sitting. Since you've made it this far, it looks like you're interested in the topic of blood pressure. In the video currently showing to my right you can learn what foods lower blood pressure and I think it's worth watching. I remind you that by pressing the like button and sharing the video with people who will find it interesting, you help me a lot. Thank you very much.
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