Barriers to blood pressure control in African Americans. Overcoming obstacles is challenging, but target goals can be attained.
Outdated and biased attitudes and care standards impede optimal care of hypertension in African Americans. The negative expectations that blood pressure targets cannot be reached must be overcome by systematic and appropriate education and treatment. However, physicians should expect that (1) African American patients with elevated blood pressure benefit from early and intensive management, (2) blood pressure can be maintained at goal with appropriate therapeutic lifestyle changes and medications, and (3) complications related to high blood pressure can be avoided. To bring blood pressure down to the target goal, combination pharmacologic therapy is often required. When extensive efforts to achieve blood pressure control prove unattainable in the primary care setting, consultation with a hypertension specialist should be considered.
Douglas
Janice G
JG
Division of Hypertension, Department of Medicine, Case Western Reserve University School of Medicine, University Hospitals of Cleveland, Room W165, 10900 Euclid Ave, Cleveland, OH 44106-4982, USA. jgd3@cwru.edu
Ferdinand
Keith C
KC
Bakris
George L
GL
Sowers
James R
JR
D001741:Black or African American / Q000193:education* / Q000523:psychology* / Q000706:statistics & numerical data; D000959:Antihypertensive Agents / Q000009:adverse effects; D001291:Attitude of Health Personnel; D004032:Diet / Q000009:adverse effects; D015444:Exercise; D006040:Goals; D007722:Health Knowledge, Attitudes, Practice; D006292:Health Priorities; D006297:Health Services Accessibility / Q000592:standards; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000208:ethnology* / Q000517:prevention & control*; D008019:Life Style; D010349:Patient Compliance / Q000208:ethnology; D010819:Physician's Role; D011287:Prejudice; D011320:Primary Health Care / Q000379:methods / Q000592:standards; D011787:Quality of Health Care; D012307:Risk Factors; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology
D000959:Antihypertensive Agents