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Inside Health

Over-diagnosis: High Blood Pressure

Inside Health

BBC

Health & Fitness, Science

4.4575 Ratings

🗓️ 21 August 2012

⏱️ 29 minutes

🧾️ Download transcript

Summary

Dr Mark Porter asks whether doctors can try too hard in the early detection of disease and investigates the overdiagnosis of hypertension. This week he discovers that as many as 3 million people who have been told they have high blood pressure may not actually have it - could you be one of them?

Transcript

Click on a timestamp to play from that location

0:00.0

Hello, I'm Greg Jenna and good news, Your Dead to Me is back for a new series. Here we go. Yes, we'll explore Emperor Nero's notorious reign with Professor Marybeard and Patton Oswald. I would not want my daughter having the remote control, not alone an empire. We'll dissect the decadent life of Philippe Duke-Dor-Leon with Tom Allen. I've often tried to pretend I'm an aristocrat and being very quickly knocked down. And there'll be so much more with comedians like Olga Koch, Mike Mosniak and Ria Lina. I'm excited. You're dead to me, the comedy podcast that takes history seriously. Listen first on BBC Sounds. Hello, I'm Dr Mark Porter and thank you for downloading this edition of Inside Health.

0:37.7

I hope you enjoy it.

0:39.2

Hello and welcome to Inside Health.

0:41.2

In today's program, we continue the theme of overdiagnosis,

0:45.1

amid growing concern that, in the quest for earlier detection,

0:48.7

doctors are sometimes trying too hard, turning healthy people into worried patients.

0:54.5

But what constitutes trying too hard? Well healthy people into worried patients. But what constitutes trying too hard?

0:57.1

Well, that depends upon who you ask.

0:59.2

On the one hand, there are the hawks who think we should be more aggressive in looking for

1:02.8

and treating silent risk factors.

1:05.0

Professor Brian Williams is hawkish on high blood pressure.

1:08.4

We're trying now to move towards the philosophy that every stroke and every heart attack is potentially preventable.

1:16.0

Why has somebody had a stroke when they're 50 and 60?

1:18.6

It shouldn't be happening.

1:19.8

Why has somebody had a heart attack?

1:21.6

We have the information now to understand why these things can be prevented.

1:26.3

So should we be looking at these as almost like a serious untoward incident?

1:30.8

And then there are the doves, like chess specialist, Professor Alan Maurice,

1:35.0

who has a cholesterol level of nine, nearly twice the level regarded as healthy.

1:39.6

It is, yes. Do I take any treatment?

1:42.1

No.

1:42.7

Did you consider taking treatment? What made you decide not to?

...

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