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Target organ damage in black hypertensives
Circulation
|May 1, 1977
Summary
This study screened 1759 Black residents for hypertension treatment candidacy. A significant number of participants, particularly males, required intervention for high blood pressure and cardiovascular disease.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Hypertension is a significant public health concern, especially within Black communities.
- Early detection and treatment are crucial for managing cardiovascular disease risk.
Purpose of the Study:
- To assess the candidacy for hypertension treatment among a representative sample of Black hypertensives.
- To identify the prevalence of elevated blood pressure and cardiovascular disease in this population.
Main Methods:
- Home screening of 1759 Black residents to identify individuals with elevated blood pressure.
- Secondary screening for those with diastolic blood pressure ≥ 95 mm Hg or already on therapy.
- Eligibility assessment based on sustained high blood pressure or evidence of end-organ damage.
Main Results:
- 41% of males and 33% of females had diastolic blood pressure ≥ 95 mm Hg.
- High prevalence of cardiovascular disease was observed among examined patients.
- 88% of aware, untreated males and 67% of aware, untreated females were candidates for therapy.
- 72% of unaware males and 67% of unaware females were candidates for therapy.
Conclusions:
- A substantial proportion of the Black hypertensive population studied required treatment.
- Screening identified many individuals eligible for hypertension management, including those unaware of their condition.
- Targeted interventions are necessary to address the high burden of hypertension and cardiovascular disease in this demographic.
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