Tom Frieden

And so on the last day of the galley proofs, they changed the title and a couple other things.

We got the reference right.

But yeah, I think you have to look at what's a hype-free... And sure, there are things that are unproven that maybe you want to try because you want to do that.

But let's be clear...

blood pressure is probably the single most important thing that any non-smoker can do.

If you smoke cigarettes, the most important thing you can do is to quit.

But for blood pressure, the evidence is so strong that starting at 115 over 75, your risk of a heart attack, stroke, or death doubles with every 20-point increase.

And since the SPRINT trial, great RCT, we've seen that down to 120 knocks down your risk of...

Heart attacks, stroke, or death by a quarter, 27%.

So I think if we – and they're all great generic medications.

Globally, countries treat hypertension for $5 a year with the best medicines there are.

And statins, very, very effective.

Physical activity –

I know you're a big proponent.

The closest thing there is to a wonder drug.

There's probably no pill or injection that can improve your health as much as regular physical activity.

Right.

accepted you know that's still what you know most uh primary care docs cardiologists even will accept much higher blood pressures and they don't even hit 140 you know eric right we spend four and a half trillion dollars on health care in the u.s the single most important thing we could get right is to control blood pressure even to 140 and we don't do that even half the time

The prevention paradox is a really important concept.

Jeffrey Rose came up with it.