Symposium Article| Volume 348, ISSUE 2, P135-138, August 2014

Racial Differences in Hypertension: Implications for High Blood Pressure Management

  • Daniel T. Lackland
    Correspondence: Daniel T. Lackland, DrPH, Department of Neurosciences, Medical University of South Carolina, Suite 501, Harborview Office Tower, Charleston, SC 29425
    From the Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina
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      The racial disparity in hypertension and hypertension-related outcomes has been recognized for decades with African Americans with greater risks than caucasians. Blood pressure levels have consistently been higher for African Americans with an earlier onset of hypertension. Although awareness and treatment levels of high blood pressure have been similar, racial differences in control rates are evident. The higher blood pressure levels for African Americans are associated with higher rates of stroke, end-stage renal disease and congestive heart failure. The reasons for the racial disparities in elevated blood pressure and hypertension-related outcomes risk remain unclear. However, the implications of the disparities of hypertension for prevention and clinical management are substantial, identifying African American men and women with excel hypertension risk and warranting interventions focused on these differences. in addition, focused research to identify the factors attributed to these disparities in risk burden is an essential need to address the evidence gaps.

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