Think You Have ‘Normal’ Blood Pressure? Think Again – By Jane E. Brody – The New York Times

“So you think your blood pressure is normal? Think again.

The latest iteration of an “ideal” blood pressure — a level of 120 millimeters of mercury for systolic pressure, the top number — that Americans are urged to achieve and maintain has been called into question by a long-term multiethnic study of otherwise healthy adults.

The study, published in June in JAMA Cardiology, found that as systolic blood pressure rose above 90 mm, the risk of damage to coronary arteries rose along with it. Systolic blood pressure represents the pressure within arteries when the heart pumps (as opposed to diastolic blood pressure, the lower smaller number, when the heart rests).

The new findings suggest a need to look more carefully at why, despite considerable overall improvements in risk factors for heart disease in recent decades, it remains the nation’s leading killer.

Starting in the 1940s, cardiovascular researchers have unveiled evidence that Americans live in a society that all but guarantees a disproportionately high risk of developing and dying of heart disease. Since my first weeks writing for this newspaper in the early 1960s, I’ve publicized their advice urging people to curb preventable risks to their hearts and blood vessels.”