Phone:  (310) 202 - 1133 

Beverly Hills Office:  435 N. Bedford Dr, Ste 212, Beverly Hills, CA 90210

Culver City Office:  3392 Motor Ave, Los Angeles, CA 90034

Dr Mike Mirahmadi Board Certified Nephrologist & Internist

Kidney Specialty

Dr.Mike extensive experience and expertise in internal medicine  focus on how to prevent, diagnoses that affect adults, Read more...

Liver Damage

Dr .Mike 

medical and clinical research background allow him to solve puzzling diagnostic problems as well as handle tough chronic situation in which multiple illneses may occur simultaneously Read more...

Patient Care 

We strive to make sure your experience here is not just comfortable ,but that we treat you like family so that you have the care and support you need.

If you wish to live for 120 years

healthy and happy

    Please try to keep your

Blood Pressure below 

120

Fasting blood sugar below  

 120 mg/DL 

 

Non HDL cholesterol (Bad Cholesterol ) 

below 120 mg/DL

 

 
 
 
 
 
 
 
  
 

First Cause of death in United State is cardiovascular death, Due to hearth attract and stroke .

If you control your blood pressure, blood sugar ,and cholesterol your cardiovascular disease will be postponed. 

HIGH BLood Pressure : Normal blood pressure Should be less than 140/90.All pharmacies in United State

Have a free to use blood pressure machine treatment is low salt diet, daily exercise, along with losartan BP medication .

High Blood Sugar (Diabetes):fasting blood sugar should be less than 120 mg/DL

Or A1C less than 6.5 Diabetes treatment is 1800 calories diabetic diet ,daily 30 minutes exercise ,keeping body mass index at25. Some may need Metformin medication.

 High Cholesterol: Your LDL (bad cholesterol) should be less than 80 mg/DL. treatment Is to avoid fatty food,fried food, egg yolk, along with low fat diet and low cholesterol diet. Some may need a low dose regiment of statin CoQ10 for muscle ache and 30 minutes of daily exercise

 


 

Jun 11 Written by 

BP in Patients with Chronic Kidney Disease

BP in Patients with Chronic Kidney Disease Photo credits by Shutterstock

BP in Patients with Chronic Kidney Disease: Do the Usual Targets Apply? 

Joel M. Gore, MD reviewing Kovesdy CP et al. Ann Intern Med 2013 Aug 20. 

Observational data suggest an increase in mortality risk at diastolic pressures less than 70 mm Hg, even 

when systolic pressure is elevated. 

Optimal blood pressure (BP) is uncertain in patients with chronic kidney disease (CKD), 

which is often associated with high pulse pressure. These investigators examined BPs 

and outcomes in 651,749 U.S. veterans with non–dialysis-dependent CKD (mean age, 

74; 88% white; 9% black) treated at Veterans Affairs healthcare facilities from October 

2004 through September 2006. At baseline, 43% of participants had diabetes, and 

mean glomerular filtration rate was 50.4 mL per minute; mean baseline systolic BP 

(SBP) and diastolic BP (DBP) were 135 mm Hg and 72 mm Hg, respectively. 

During a median follow-up of 5.8 years, 238,640 patients died. The associations of both 

SBP and DBP with mortality were U-shaped. Optimal SBP was in the approximate 

range of 140–160 mm Hg, and optimal DBP was in the approximate range of 80–90 mm 

Hg. Mortality was lowest in patients with an SBP in the 140–159 mm Hg range or a DBP 

in the 90–99 mm Hg range and was highest in those with an SBP less than 120 mm Hg 

and a DBP less than 80 mm Hg; these associations were statistically significant and 

independent of confounding variables. In adjusted analyses of 96 mutually exclusive 

combinations of SBP and DBP categories, hazard ratios for mortality were lowest at 

BPs of 130–159/70–89 mm Hg. Mortality was significantly elevated in all categories in 

which DBP was less than 70 mm Hg 

9092 Last modified on Tuesday, 29 July 2014 19:44
Super User

Nunc dictum rutrum accumsan. Maecenas tempor pellentesque dolor, ut vehicula justo luctus a. Nullam neque nulla, rutrum ac volutpat in, dapibus quis justo.

Website: www.hotjoomlatemplates.com
Login to post comments

Appointment

Please fill this form to schedule an appointment. We will confirm it by email.

5 + 12 = ?

About Dr Mike Mirahmadi

Welcome to the Best Health Care Medical Group Web site!
I am honored to be your Family Doctor and Primary Care Physician. We hope you like the services in our clinics.
I am a BOARD certified internist and nephrologist, as such, I can manage and treat most of your internal medical problems, I am Clinical Professor of medicine at UCLA and teach at Cedars-Sinai 
Medical Center

Read more...

 

Contact Us

 

mapWest L.A. Office

        3392 Motor Ave.; Los Angeles,         CA 90034

mapTeI: (310) 202-1133

        Fax: (310) 202-1139

 

===========================

 mapBeverly Hills Office

        435 N. Bedford Dr., Suite 312;         Beverly Hills, CA 90210

mapTel: (310) 858-5090                           Fax: (310) 276-5508  

E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

 

 

Follow Us

 =========================
 
 

Office Hours

 West LA Office :

Monday, 8:00 am & 2:00pm

Wednesday, 12:00pm & 6:00pm

Friday, 9:00 am & 5:00pm

 Beverly Hills Office : 

Thuesday, 12:00am & 6:00pm

Thursday, 8:00 am & 2:00pm

Walk in Clinic

 Wednesday-Friday: 9:00 am & 5:00pm