0:00

1970年には、高血圧の基準は 160/90でした。医師があなたに話し始めるのはあなたの高血圧や、薬を飲むべきかどうかについてでした。

0:10

高血圧かどうかを知る方法がもう一つ、ありました特に年を取ると、収縮期血圧は 100にあなたの年齢を足した値でなければならない。70歳なら、血圧が 170/いくつでも、まったく問題ないとされた。

0:22

それより低ければ、すべて大丈夫でした。ところが約30年前、私が学生だった頃、なぜか薬を投与すべき数値が変わりました。

0:34

学校では、誰かが高血圧のときそれは 140/90なら、患者を主治医に紹介して投薬を受けさせます。

0:42

主治医に紹介して投薬を受けさせます。ところが2017年に、ある出来事がありました。

0:49

それは、血圧はもっと低くあるべきだとする研究が発表されたことです。

0:53

120/80未満にすべきだと。これはかなり高い目標です。

1:00

それは非常に低く、ほとんど誰も達成できません。

1:05

日中に診察室へ入る頃には、すでにストレスを感じています。

1:09

ストレスを感じた状態で来院しています。待合室で長く待たされたかもしれません。

1:13

その診察予約の前に、コーヒーや何かしらの食べ物を口にしたはずです。

1:17

それから急かされるように診察室へ通され、たいてい血圧計のカフを何枚もの服の上から巻きますが質問されている間もぶら下がっている血圧が120/80を超える理由は数多くあります今 血圧が120/80を超えていれば注意を受けます軽くお仕置きされる手首を軽くたたかれるようなものです医師から話があります でも130/80を超えていれば

1:43

それが投薬の基準ですでは ご意見をお聞かせください。

1:48

これは製薬会社が基準値を下げている単なる強欲でほとんど誰も基準を満たせなくして その結果私たち全員が血圧の薬を飲むようにするためでしょうか?

1:59

それとも 製薬会社は ええととても利他的で 人類を助けたいだけで基準を設けたのでしょうかええと ご存じのとおり 本当に命を救い、私たちが心臓発作や脳卒中を起こすのを防ぐのか?

2:13

答えをどう思うか、コメント欄で教えてください下下に。

2:18

仮に、これは正しいかもしれません。年齢に関係なく、私たち全員の血圧は 120/80未満であるべきかもしれません。おそらく方法はありますあなたにとって正常な血圧にする方法が。

2:30

しかし最大の疑問は、正常な血圧とは何か?

2:34

20歳のとき、血圧はどのくらいであるべきでしょうか?

2:37

80歳のとき、血圧はどのくらいであるべきでしょうか?

2:40

そして意見が何であれ、それを裏づける研究があるでしょう。実際、高齢の人の多くについては高齢者や年配の人では、興味深いことに、今では言われ始めています。

2:54

あるいは少なくとも、いくつかの血圧は高いほうがよいという研究の裏付けがある低血圧の人々は多くの薬を飲んでいるため実際に低血圧になっており健康状態が悪く血圧が高い人々より早く亡くなる。

3:06

まあ、考えてみてください。それがこれまで私たちが見てきた歴史です私の生涯だけでも。

3:14

では、 100年前には何をしていたのか 1920年代に高血圧について何をしていた?高血圧で人々は次々と亡くなっていたのか?

3:21

そして今、全員の血圧を 120/80未満にすると私たちは皆、より長生きする?

3:25

それが今、人々が長生きしている理由?人々は本当に長生きしているのか?

3:32

これは大切な問いです。皆さん自身で行間を読んでみてください。さて

End of transcript · 764 words · machine translated

Original transcript (English)

In nineteen seventy, the criteria for high blood pressure was one sixty over ninety. That's when the doctor started talking to you about your high blood pressure and whether you should take medications.

There was another method of knowing if you had high blood pressure, especially as you got older, was the systolic number had to be a hundred plus your age. So if you were seventy years old, it was perfectly acceptable to have your blood pressure one seventy over something.

As long as it was lower than that, everything was A-okay.

Then somehow about thirty-ish years ago when I was in school, the numbers changed to when you were supposed to give someone medication.

We were taught in our school that when someone had high blood pressure that was one forty over ninety, that's when you were to send them out to their primary care doctor and have them take medication.

Well, then in two thousand and seventeen, something happened, and that is s-- a study came out that said people's blood pressure should be lower than one twenty over eighty.

Now, that is a pretty lofty goal. That is very low, such that almost hardly anyone can pass that.

When you go into a doctor's office in the middle of the day, you've already had stress. You're already stressed about being there.

Maybe you've been waiting in the waiting room too long.

You've probably had coffee or some type of food prior to that appointment. Then they rush you into the room, usually put the blood pressure cuff off a number of-- over a number of clothing as you're d-dangling there, as they're asking questions.

There's a whole host of reasons why your blood pressure is gonna be above one twenty over eighty.

If you are above one twenty over eighty now, you're gonna get a talking to.

You're gonna get a little spanking, a little slap on the wrist.

The doctor's gonna talk to you. But if you're above one thirty over eighty, now that's the criteria for medication.

Now, let me know what your opinion is. Is this simply corporate greed from pharmaceutical companies to lower the margins so low that almost no one can pass, and thus, every one of us should be on blood pressure medication?

Or are, are the, uh, pharmaceutical companies so altruistic that they just wanna help humanity, that they've made the criteria such that, um, you know, they're really saving lives and, and preventing us from having a heart attack or stroke?

Let me know what you think is the answer down in the comment section down below.

Hypothetically, this may be true. No matter what our age, maybe all of our blood pressure should be below one twenty over eighty. There is probably a way to get your blood pressure to normal for you.

But the million-dollar question is: What is normal blood pressure?

What should our blood pressure be when we're twenty years old?

What should our blood pressure be when we're eighty years old?

And whatever your opinion is, there's probably research to support that. In fact, for many people that are elderly or old, it's interesting that now they're starting to say, or at least there's some research to support that your blood pressure should be higher,

that people that have low blood pressure because they're on so many medications are actually having less health and dying sooner than the people with higher blood pressure.

So, go figure. But that's the history of what we've seen so far just in my lifetime.

Now, what were they doing a hundred years ago in the nineteen twenties with high blood pressure? Were people dropping dead like crazy because of high blood pressure? And now that we're getting everyone below one twenty over eighty, we're all living longer lives? Is that the reason why people are living longer now? Are they living longer?

These are great questions to ask, and I'll leave it up to you to try to read between the lines. Now

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