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Published on: September 26, 2018
Cardiovascular disease in blacks: can we stop the clock?
1Emory University and the Association of Black Cardiologists, Atlanta, GA 30349, USA. kcferdmd@aol.com
Summary
Blacks face higher rates of hypertension and cardiovascular disease. Intensive blood pressure control using lifestyle changes and medications like diuretics is crucial for managing this high-risk group.
Area of Science:
- Cardiology
- Public Health
- Hypertension Research
Background:
- Blacks exhibit disproportionately high rates of hypertension and cardiovascular disease (CVD), characterized by earlier onset, increased severity, and significant target organ damage.
- Associated risk factors include obesity, physical inactivity, diabetes mellitus, socioeconomic disparities, and challenges in treatment adherence and goal achievement.
Purpose of the Study:
- To review the substantial burden of cardiovascular disease within the Black population.
- To outline therapeutic lifestyle modifications and pharmacologic interventions for reducing clinical events in this high-risk demographic.
Main Methods:
- This is a review article, synthesizing existing research on cardiovascular disease in Black individuals.
- Focus is placed on therapeutic strategies, including lifestyle changes and pharmacological treatments.
Main Results:
- Intensive blood pressure control is identified as a key strategy to mitigate the progression of cardiovascular and renal diseases.
- Thiazide diuretics are recommended as first-line agents for uncomplicated hypertension; calcium channel blockers are also effective.
Conclusions:
- Renin-angiotensin system modulators may offer additional benefits, particularly when combined with diuretics, given the high prevalence of indications for their use in this population.
- Effective management of hypertension and associated risk factors is paramount for improving cardiovascular outcomes in Black patients.
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