Managing hypertension in African Americans with heart failure: A guide for the primary care clinician

Area of Science:

• Cardiovascular Medicine
• Public Health
• Health Disparities

Background:

• Hypertension is a primary driver of cardiovascular disease (CVD) morbidity and mortality in Black adults in the U.S.
• Uncontrolled hypertension contributes to heart failure development and poorer outcomes post-diagnosis.
• It is a significant risk factor for hypertensive disorders of pregnancy and peripartum cardiomyopathy in Black women.

Purpose of the Study:

• To underscore the critical need for awareness regarding the consequences of uncontrolled hypertension in Black adults.
• To emphasize the importance of identifying and implementing effective blood pressure management strategies.
• To highlight the specific need for timely and effective hypertension control in Black individuals at risk for or with heart failure.

Main Methods:

• This study is a review and synthesis of existing literature and clinical guidelines.
• It focuses on the epidemiological data and clinical implications of hypertension in Black adults.
• The analysis emphasizes the role of primary care clinicians, patients, and communities in hypertension management.

Main Results:

• Black adults face a disproportionately high burden of hypertension-related cardiovascular complications.
• Effective blood pressure control is essential to mitigate risks of heart failure and associated mortality.
• Awareness and proactive management are vital for preventing adverse pregnancy-related hypertensive conditions.

Conclusions:

• All stakeholders must recognize the severe consequences of uncontrolled hypertension in Black adults.
• Targeted treatment strategies are necessary for optimal blood pressure control.
• Prioritizing hypertension management in Black individuals, particularly those with heart failure, is critical for improving health outcomes.