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Ethnic and racial disparities in hypertension management among women
1College of Nursing and Division of Cardiovascular Sciences, College of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd, Tampa, FL, 33612.
Insights
Hypertension disproportionately affects women, especially those with preeclampsia, increasing cardiovascular disease risk. This review examines racial disparities in blood pressure control and guidelines for prevention and treatment.
Area of Science:
- Cardiology
- Public Health
- Health Disparities
Background:
- Hypertension is a primary risk factor for cardiovascular disease across all demographics.
- It is the leading cause of death for women, surpassing other lifestyle and metabolic risks.
- Preeclampsia significantly elevates women's risk for chronic hypertension and future cardiovascular events.
Purpose of the Study:
- To review factors contributing to racial and ethnic disparities in blood pressure control.
- To summarize current clinical guidelines for hypertension management.
- To highlight lifestyle modifications and pharmacotherapy for hypertension prevention and treatment.
Main Methods:
- Literature review of studies on hypertension and cardiovascular disease.
- Analysis of factors contributing to racial and ethnic disparities in blood pressure.
- Synthesis of current clinical practice guidelines for hypertension.
Main Results:
- Racial and ethnic disparities exist in blood pressure control.
- Hypertension poses a significant, leading mortality risk for women.
- Preeclampsia is a strong predictor of future chronic hypertension and cardiovascular disease.
Conclusions:
- Addressing racial and ethnic disparities is crucial for effective hypertension management.
- Lifestyle modifications and pharmacotherapy are key components of hypertension guidelines.
- Early identification and management of hypertension, particularly in women with preeclampsia, can mitigate cardiovascular risk.
Abstract:
Hypertension is a major independent risk factor for cardiovascular disease for all ethnic and racial groups. Compared with other lifestyle and metabolic risk factors, hypertension is the leading cause of death in women. Women with preeclampsia are three times more likely to develop chronic hypertension and have an elevated risk of future cardiovascular disease. The objective of this article is to provide a review of the factors related to racial and ethnic disparities in blood pressure control. This is followed by a summary of contemporary clinical practice guidelines for the prevention, through lifestyle behavioral modification, and treatment of hypertension with pharmacotherapy.
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