Heart Surgeon Urges Daily Monitoring: Why Blood Pressure is the “Easiest Modifiable” Risk Factor

In recognition of Heart Health Month this February, board-certified cardiothoracic surgeon Dr. Jeremy London is sounding the alarm on hypertension. Often labeled the “silent killer,” high blood pressure affects nearly 50% of Americans, many of whom remain undiagnosed until serious complications arise.

Dr. London emphasizes that while hypertension is the most common precursor to heart disease, it is also the most modifiable risk factor we have. Through a combination of lifestyle adjustments and, when necessary, medical intervention, the risks associated with high blood pressure can be significantly mitigated.

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The Strategy for Management

According to Dr. London, cardiovascular well-being is heavily influenced by daily choices. He highlights four primary pillars for maintaining healthy levels:

• Weight Control: Maintaining a healthy weight reduces the strain on the heart.
• Regular Exercise: Physical activity strengthens the cardiovascular system.
• Limiting Alcohol: Reducing or avoiding alcohol intake supports stable pressure.
• Consistent Medication: If lifestyle changes aren’t enough, prescribed medications must be taken seriously and consistently.

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Moving Beyond the Annual Check-up

Perhaps the most striking advice from Dr. London is the frequency of measurement. He argues that a single reading during an annual physical is insufficient for a true understanding of your health.

To capture an accurate picture of cardiovascular function, Dr. London recommends:

Measure your blood pressure twice daily—once in the morning and once in the evening—to track average patterns over time.

By monitoring these numbers at home, individuals can catch fluctuations that a once-a-year doctor’s visit might miss, allowing for proactive rather than reactive healthcare.

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