Hypertension in black patients: Special issues and considerations
Hypertension in black patients: Special issues and considerations
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DOI：
10.1007/s11906-005-0020-5
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发表时间：
2005-08-01
影响因子：
5.6
通讯作者：
Nesbitt, SD
中科院分区：
文献类型：
--
作者：
Nesbitt, SD
美国黑人高血压的过度风险仍然是一个主要的健康问题。虽然有相当多的信息，这些疾病的趋势，许多高血压的病因学的主要基础仍然不清楚。黑人因心脏病、肾功能衰竭和中风而导致的死亡率过高，显然与高血压的过度负担直接相关。在最近关于高血压病理生理学的研究中，超重、盐敏感性和血管生物学的影响存在明显的沿着种族差异。这些差异可能有助于开发更有效的治疗策略。根据我们目前的知识，黑人高血压的积极管理至关重要。这篇综述强调了影响高血压的各种因素及其在美国黑人中的治疗。
The excess risk for hypertension in black Americans continues to be a major health concern. Although there is considerable information regarding these disease trends, many of the major underpinnings of the etiology of hypertension remain unclear. The excess mortality in blacks due to heart disease, renal failure, and stroke is clearly directly related to the excess burden of hypertension. Amid the recent findings about the pathophysiology of hypertension, some clear differences in the effects of overweight, salt sensitivity, and vascular biology emerge along ethnic lines. These differences may shed some light on the development of more effective treatment strategies. Based on our current knowledge, aggressive management of hypertension in blacks is critical. This review highlights what is known about various factors affecting hypertension and its treatment in black Americans.