title: Hypertension in african americans aged 60 to 79 years: statement from the international society of hypertension in blacks.
abstract: A 2014 hypertension guideline raised goal systolic blood pressure (SBP) from <140 mm Hg to <150 mm Hg for adults 60 years and older without diabetes mellitus (DM) or chronic kidney disease (CKD). The authors aimed to define the status of hypertension in black adults 60 to 79 years from the National Health and Nutrition Examination Survey 2005-2012 and provide practical guidance. Black patients were more often aware and treated (P≤.005) for hypertension than whites and had higher rates of DM/CKD (P<.001), similar control to <140/<90 mm Hg with DM/CKD (P=.59), and lower control without DM/CKD (<140/<90 mm Hg and <150/<90 mm Hg, P≤.01). Limited awareness (<30%) and infrequent health care (>30% 0-1 health-care visits per year) occurred in untreated black and white hypertensive patients without DM/CKD and BP ≥140/<90 mm Hg. The literature suggests benefits of treated SBP <140 mm Hg in adults 60 to 79 years without DM/CKD. The International Society of Hypertension in Blacks recommends: (1) continuing efforts to achieve BP <140/<90 mm Hg in those with DM/CK, and (2) identifying hypertensive patients without DM/CKD and BP ≥140/<90 mm Hg and treat to an SBP <140 mm Hg in black adults 60-79 years.
authors.affiliation: Board of Trustees, International Society of Hypertension in Blacks (ISHIB), Arlington, VA; Care Coordination Institute, University of South Carolina School of Medicine, Greenville, SC.
authors.forename: Brent M
authors.initials: BM
authors.lastname: Egan
authors.forename: Veita J
authors.initials: VJ
authors.lastname: Bland
authors.forename: Angela L
authors.initials: AL
authors.lastname: Brown
authors.forename: Keith C
authors.initials: KC
authors.lastname: Ferdinand
authors.forename: German T
authors.initials: GT
authors.lastname: Hernandez
authors.forename: Kenneth A
authors.initials: KA
authors.lastname: Jamerson
authors.forename: Wallace R
authors.initials: WR
authors.lastname: Johnson
authors.forename: David S
authors.initials: DS
authors.lastname: Kountz
authors.forename: Jiexiang
authors.initials: J
authors.lastname: Li
authors.forename: Kwame
authors.initials: K
authors.lastname: Osei
authors.forename: James W
authors.initials: JW
authors.lastname: Reed
authors.forename: Elijah
authors.initials: E
authors.lastname: Saunders
mesh_terms: D000328:Adult; D001741:Black or African American / Q000208:ethnology*; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000208:ethnology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D012955:Societies, Medical
chemical_list: D000959:Antihypertensive Agents