And once again, high blood pressure is making headlines in the news: the American Heart Association and the American College of Cardiology (AHA/ACC) have just released new guidelines about hypertension. Since this development is likely to cause confusion and concern for many, I'm writing this post to help you understand the debate and what this might mean for you and your family. By the way, if you've read any of my other blood pressure articles on this site, let me reassure you: I am not changing my clinical practice or what I recommend to others, based on the new AHA/ACC guidelines. The core principles of better blood pressure management for older adults remain the same: * Take care in how you and your doctors measure blood pressure (more on that here), * Start by aiming to get blood pressure less than 150/90 mm Hg, as recommended by these expert guidelines issued in 2017 and in 2014, * And then learn more about what are the likely benefits versus risks of aiming for more intensive BP control. Perhaps the most important thing to understand is this: treatment of high blood pressure in older adults offers "diminishing returns" as we treat BP to get lower and lower. Scientific evidence indicates that the greatest health benefit, when it comes to reducing the risk of strokes and heart attacks, is in getting systolic blood pressure from high (i.e. 160-180) down to moderate (140-150). From there, the famous SPRINT study, published in 2015, did show a further reduction in cardiovascular risk, when participants were treated to a lower systolic BP, such as a target of 120. However, this was in a carefully selected group of participants, it required taking three blood pressure medications on average, and the reduction in risk was small. As I note in my article explaining SPRINT Senior, in participants aged 75 or older, pushing to that lower goal was associated with an estimated 1-in-27 chance of avoiding a cardiovascular event. (The benefit was even smaller in adults aged 50-75.) How does the author think the readers will react to the new AHA guidelines? Pick the correct answer from the following options: A. They will be confused. B. not enough information C. They will be controlled. D. They will be pushed.
A

April 1, 2006 Walter died today. Found out this morning over breakfast. Suicide. Walter. I'm still trying to wrap my mind around it. Suicide. Walter wasn't suicidal. I know that, know it for a fact. But he is dead. Why? I am not foolish enough to suspect "foul play" as they say in the mystery stories. No one cares enough about a community college art teacher to murder him. But suicide? Something is wrong here. Very wrong. April 2, 2006 I didn't realize until this morning that yesterday was April Fools day. Some kind of sick joke? But that's not like Walter either. He was a little crazy, but not that kind of crazy. Still I keep half expecting to pick up my voice and hear his voice yell, "Gotcha!" But it is no joke. I know he is dead. (Later) Got a package today. From Walter. Scary considering what I wrote about expecting him to call. I can't express the chill I got when I saw his name on the label. A message from the dead. Surely it's not a good Omen. It's a painting. Or at least I think it is. The package is the right shape, and knowing Walter it seems likely, but...I haven't yet worked up the courage to open it yet. I'm afraid of what I might find. April 3, 2006 Went to the funeral today. Walter's wife, Martha, was in hysterics. Can't say I blame her. It was awkward being there seeing someone in the most vulnerable possible condition. I didn't know her that well. Walter and I rarely interacted outside of work, so I have very little knowledge of his personal life. Sylvia went up to her and hugged her even though she'd never met her before in her life. It must be something with women to be able to make that kind of spontaneous connection. I just shook her hand, and told her I was sorry. I don't make a habit of crying in public, but seeing her so shaken up brought tears to the edges of my eyes, and I did nothing to wipe them away. After five years of friendship it's the least Walter deserves of me. One other thing. The package. It's still sitting there in my study. Mocking me. That's how it feels anyway. Should... Martha is: Pick the correct answer from the following options: A. not enough information B. Dancer C. Doctor D. School teacher
A

SEOUL, SOUTH KOREA U.S. President Donald Trump's decision to withdraw from the Iran nuclear agreement is not expected to derail diplomatic momentum to reach a deal to end North Korea's nuclear weapons program, but it could complicate the negotiation process, analysts say. Trump on Tuesday announced that the United States is ending its participation in the 2015 Joint Comprehensive Plan of Action (JCPOA) that lifted sanctions on Iran in exchange for Tehran limiting its nuclear program, and would re-impose U.S. economic sanctions on Iran. The agreement was negotiated by the administration of Trump's predecessor, President Barack Obama, and involved five other world powers; Great Britain, France, Germany, China and Russia. Trump's National Security Adviser John Bolton said the U.S. decision to re-impose sanctions on Iran will set a higher standard for North Korea nuclear talks by sending, "a very clear signal that the United States will not accept inadequate deals." The U.S. policy reversal on Iran should not seriously impede diplomatic progress underway with North Korea, said Victor Cha, a noted Korea scholar with the Center for Strategic and International Studies in Washington. "In terms of how the North Koreans would take it, I don't think they'd take it one way or the other. I don't think they'd see it as negative or positive because they think they're different from anybody else anyway. They think they're a very special case," Cha said at a CSIS conference this week. While the Iran deal limited that country's efforts to develop a nuclear bomb, North Korea already possesses 20 to 60 nuclear warheads, according assessments by the U.S. Central Intelligence Agency and the Defense Intelligence Agency, and between 40 to 100 nuclear development facilities, according a report from the RAND Corporation security research organization. But apprehension over whether future U.S. presidents would uphold a nuclear deal reached by Trump could reinforce the North Korean demand for early concessions. John Delury, a North... What does Cha think about the US policy reversal on Iran? Pick the correct answer from the following options: A. he thinks positively B. not enough information C. he thinks negatively D. he doesn't think it will affect them either way
D