The DASH diet has been shown to reduce both systolic (top number) and diastolic (bottom number) blood pressure in individuals with high or normal blood pressure, according to background information in the article. The diet has also been shown to reduce low-density lipoprotein (“bad”) cholesterol and is recommended in national dietary guidelines as an example of a healthy eating pattern.
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Use of calcium-channel blockers, alpha-blockers or angiotensin-converting enzyme (ACE) inhibitors appears to offer no advantages in improving clinical outcomes compared with use of diuretics when treating hypertension among individuals with metabolic syndrome, according to a report in the January 28 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. This appears particularly true for black patients.
Patients with hypertension (high blood pressure) and metabolic syndrome are at high risk for the complications of cardiovascular disease, according to background information in the article. The metabolic syndrome was defined as hypertension plus at least two of the following factors: diabetes or pre-diabetes; a body mass index (BMI) of at least 30; high triglyceride levels; or low levels of high-density lipoprotein (“good” cholesterol).
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Treatment of obstructive sleep apnea may improve control of blood pressure and improve nocturnal oxygen levels, which helps in minimizing risks of stroke, heart attack, and heart failure. Additionally, obstructive sleep apnea may cause abnormal heart rhythms which would not be triggered at night with successful treatment of obstructive sleep apnea, said Dr. David F. Kristo.
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