title: Eliminating disparities in hypertension care for Hispanics and blacks using a heart failure disease management program.
abstract: OBJECTIVE
  This study assessed if patients enrolled in a heart failure disease management program (HFDMP) reach the JNC VII target goals for blood pressure (BP) control, eliminate disparities in hypertension control by race/ ethnicity and the impact BP control has on survival.
  
  
  METHODS
  Patients (N = 898) with an ejection fraction <40% were enrolled into two HFDMPs and screened for hypertension, defined as BP > 130/80.
  
  
  RESULTS
  Mean baseline systolic BP (SBP) 132 ± 25.5 mm Hg and diastolic BP (DBP) 79 ± 16.8 mm Hg. Final mean SBP decreased to 129.6 mm Hg, DBP 77.6 mm Hg. Whites had the highest rate of achieving BP goals. Mortality reduction was associated with minority race, history of hypertension, increase ejection fraction and statin use.
  
  
  CONCLUSIONS
  HFDMPs are an effective way to reduce BP in hypertensive patients. Disparities by race and ethnicity were not seen after adjustment for disease modifiers. There was no mortality difference in those who reached BP goal.
authors: University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL 33136, USA. khebert1@gmail.com
authors: Kathy
authors: K
authors: Hebert
authors: Elyse
authors: E
authors: Julian
authors: Jorge
authors: J
authors: Alvarez
authors: Andre
authors: A
authors: Dias
authors: Leonardo
authors: L
authors: Tamariz
authors: Lee
authors: L
authors: Arcement
authors: Henry C
authors: HC
authors: Quevedo
mesh_terms: D001741:Black or African American; D000368:Aged; D001794:Blood Pressure; D005260:Female; D005431:Florida; D054625:Healthcare Disparities / Q000208:ethnology*; D006333:Heart Failure / Q000150:complications / Q000188:drug therapy*; D006630:Hispanic or Latino; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy* / Q000208:ethnology* / Q000401:mortality; D016015:Logistic Models; D008145:Louisiana; D008297:Male; D008875:Middle Aged; D016016:Proportional Hazards Models; D044465:White People