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Sheldon G. Sheps, M.D.read biographyclose window
Sheldon G. Sheps, M.D.Sheldon Sheps, M.D.
Dr. Sheldon Sheps, emeritus professor of medicine and former chair of the Division of Nephrology and Hypertension in the Department of Medicine at Mayo Clinic, has been with Mayo Clinic since 1960.
Dr. Sheps, a Winnipeg, Manitoba, native, is board certified in internal medicine and specializes in hypertension and peripheral vascular diseases. He developed a multidisciplinary approach with specially trained nurses, dietitians, technicians and educators to help form a team approach to the treatment of patients with abnormal blood pressure.
"I have always believed in involving the patient and family in their health care," Dr. Sheps says. "I have asked for their understanding of the illness and issues and for participation in decisions. The Web is a natural extension of that, and now many more people can be informed."
Dr. Sheps chaired the sixth working group, and he participated in the fourth, fifth and seventh groups that developed the then-latest guidelines for hypertension under the auspices of the National Heart, Lung, and Blood Institute (NHLBI). He helped write the latest American Heart Association (AHA) report on blood pressure measurement. He chaired an AHA group that produced an online accreditation for blood pressure measurement for health professionals.
Dr. Sheps has co-authored books, newsletters, CD-ROMs and other Mayo Clinic health information material. He joined Mayo Clinic's Web team in 1998. He was medical editor-in-chief of both editions of the "Mayo Clinic on High Blood Pressure" book; the last edition was published in 2003. He was also medical editor-in-chief of "Mayo Clinic 5 Steps to Controlling High Blood Pressure," published in 2008.
In addition, Dr. Sheps was section editor for each of the first three editions of "Hypertension Primer" for the American Heart Association.
Dr. Sheps was also chairman of the Science Base Subcommittee and the National High Blood Pressure Education Program, and he was a consultant to the Hypertension Initiative of the World Health Organization. In 1997, he was honored with the Individual Achievement Award on the 25th anniversary of the National High Blood Pressure Education Program of NHLBI. In 2009, he was honored as a Distinguished Mayo Alumnus.
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Caffeine: How does it affect blood pressure?
How does caffeine affect blood pressure?
from Sheldon G. Sheps, M.D.
Caffeine can cause a short, but dramatic increase in your blood pressure, even if you don't have high blood pressure. It's unclear what causes this spike in blood pressure. Caffeine could block a hormone that helps keep your arteries widened. Others think that caffeine causes your adrenal glands to release more adrenaline, which causes your blood pressure to increase.
Some people who regularly drink caffeinated beverages have a higher average blood pressure than do those who drink none. Others who regularly drink caffeinated beverages develop a tolerance to it. As a result, caffeine doesn't have a long-term effect on their blood pressure. It seems that caffeine has a stronger blood pressure increasing effect in people who are older than 70 or who are overweight.
If you have high blood pressure, ask your doctor whether you should limit or stop drinking caffeinated beverages. If you're concerned about caffeine's effect on your blood pressure, try limiting the amount of caffeine you drink to 200 milligrams a day — about the same amount as in two 12-ounce cups of brewed coffee. Keep in mind that the amount of caffeine in coffee and other beverages varies by brand. Also, avoid caffeine right before activities that naturally increase your blood pressure, such as exercise, weightlifting or hard physical labor.
To see if caffeine might be raising your blood pressure, check your blood pressure within 30 to 60 minutes of drinking a cup of coffee or another caffeinated beverage. If your blood pressure increases by five to 10 points, you may be sensitive to the blood pressure raising effects of caffeine. If you plan to cut back on caffeine, do so gradually over several days to a week to avoid withdrawal headaches.Next question
Blood pressure readings: Why higher at home?
- Uiterwaal CS, et al. Coffee intake and incidence of hypertension. American Journal of Clinical Nutrition. 2007;85:718.
- Zhang Z, et al. Habitual coffee consumption and risk of hypertension: A systematic review and meta-analysis of prospective observational studies. American Journal of Clinical Nutrition. 2011;93:1212.
- Giggey PP, et al. Greater coffee intake in men is associated with steeper age-related increases in blood pressure. American Journal of Hypertension. 2011;24:310.
- Aronow WS, et al. ACCF/AHA 2011 expert consensus document on hypertension in the elderly: A report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus documents developed in collaboration with the American Academy of Neurology, American Geriatrics Society, American Society for Preventive Cardiology, American Society of Hypertension, American Society of Nephrology, Association of Black Cardiologists, and European Society of Hypertension. Journal of the American College of Cardiology. 2011;57:2037.
- Mort JR, et al. Timing of blood pressure measurement related to caffeine consumption. Annals of Pharmacotherapy. 2008;41:105.