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Does it matter WHEN you take your MEDICATION for High Blood Pressure?

There was NO difference between MORNING and EVENING administration of Anti-Hypertensive medications in terms of Major Adverse Cardiovascular Events, which included all-cause death, hospitalisation/AE visit for stroke, Acute Coronary Syndrome and Congestive Heart Failure.

- According to two research trials presented at the European Society of Cardiology Congress in London in August this year.

- The BedMed trial enrolled over 3k patients with a median age of 67 years, of whom 56% were women. The above MACE was observed in 9.7% vs 10.3%, not reaching statistical significance of p=0.7).

- Similar conclusions were drawn from the BedMed-Frail trial, which enrolled patients with median age of 88 years.

- The conclusion in the press release was: 'Patients should take their Blood Pressure medication when they are least likely to forget.'

- Link to the ESC press release below. Full study pending publication.

https://www.escardio.org/The-ESC/Press-Office/Press-releases/Evening-vs-morning-dosing-of-blood-pressure-medication-no-differences-seen

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Dr Bart Olechowski, an experienced Consultant Cardiologist, who specialises in Coronary Intervention and is located in Hampshire, UK sees private heart patients regularly. He consults patients with heart symptoms, including chest pains, palpitations, breathlessness, dizzy spells and blackouts in London, Farnham, Basingstoke and Winchester. His Personal Assistance - Amy Rossiter helps patients with their private insurance and makes this journey through healthcare easy and stress free.

Smoking is associated with an increased cardiovascular risk. Vaping may also be associated with it.
by Bartosz Olechowski 22 February 2025
This article explores the evidence surrounding smoking and vaping in relation to cardiovascular disease, examining their physiological effects, mechanisms of harm, and potential benefits of smoking cessation.
Heart health advice for the Elderly.
by Bartosz Olechowski 14 February 2025
Common Heart Problems in the Elderly and Dr Bart`s and co-authors research article entitled: ‘Is cardiac resynchronisation therapy feasible, safe and beneficial in the very elderly?’ are described in this blog post.
Dr Bart Olechowski - private consultant cardiologist in Andover, Basingstoke, Farnham, London.
by Bartosz Olechowski 17 January 2025
The evidence supporting Omega-3 for heart health is not as convincing as initially thought, though not without promise, especially in a form of Icosapent Ethyl. Improving cardiovascular wellness appears to be mediated by reduction in triglycerides levels, which indeed are a risk factor for heart disease. However, the magnitude of these benefits can vary based on individual factors such as baseline risk and underlying past medical history. For individuals considering Omega-3 supplements, consulting a healthcare provider is essential to ensure appropriate use. Professionals like Dr Bart, with expertise in advanced diagnostic tests and personalised care, can guide patients toward optimal heart health. Ultimately, there are several valuable tools that can help in the fight against cardiovascular disease. The broader lifestyle changes and medical care is something that we would recommend.
Best Cardio Exercise for Heart Health. In this blog post we describe several interesting studies.
by Bartosz Olechowski 28 December 2024
Some forms of exercise are better than others. Aerobic activities, in particular, have been shown to be the best cardio exercises for improving heart health. It`s difficult to choose the best cardio exercise, as they provide cardiovascular benefit and protection. Individual preference, ability and age are the important determining factors. From Dr Bart`s experience it`s best to choose an exercise, which you truly enjoy, as it helps you to sustain it in a long term.
Early signs of a Heart Attack, blog post by Dr Bart Olechowski, Consultant Cardiologist in Hampshire
by Bartosz Olechowski 8 December 2024
Early signs of a Heart Attack and a link to a full article are included in this blog post.
Outdoor light and risk of Hypertension.
by Bartosz Olechowski 3 November 2024
Outdoor light and risk of Hypertension. Interesting data and findings.
Artificial Intelligence and a possibility of an early exclusion of Heart Attacks, new data published
by Bartosz Olechowski 26 October 2024
Can AI Algorithm rule out a diagnosis of a heart attack earlier than traditionally used pathways? New data was published in October 2024 in Lancet Digital Health.
Dr Bart Olechowski private consultant cardiologist.
by Bartosz Olechowski 19 October 2024
Regular Health Checkups reduce Blood Pressure and Cholesterol levels, according to a study published in 2022.
Heart Failure Risk Factors with research studies described below.
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Heart Failure - Risk Factors are research studies are described in this article.
Private Heart Specialist in Winchester and Basingstoke.
by Bartosz Olechowski 29 September 2024
Consumers of 3 cups of COFFEE or 200-300 mg/d of CAFFEINE had the lowest risk of new-onset CardioMetabolic Multimorbidity, according to a study published in the Journal of Clinical Endocrinology and Metabolism in September 2024.
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