The disproportionate impact of hypertensive cardiovascular disease in African Americans: getting to the heart of the issue.
The disproportionate impact of hypertensive cardiovascular disease in African Americans: getting to the heart of the issue.
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DOI：
10.1111/j.1524-6175.2004.03563.x
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发表时间：
2004-04-01
期刊：
影响因子：
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通讯作者：
Jamerson, Kenneth A
中科院分区：
文献类型：
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作者：
Jamerson, Kenneth A
非洲裔美国人的高血压患病率是世界上最高的之一。与非非洲裔美国人相比，这一群体的人患高血压的年龄更小，并出现更严重的并发症，包括中风、心血管疾病和肾功能衰竭。将这种高风险传递给这一人群的因素仍然知之甚少，毫无疑问，环境因素掩盖了遗传易感性。虽然确定导致疾病种族差异的病理生理和环境因素很重要，但找到长期解决方案至关重要。目前已经有可能对非裔美国人的健康结果产生重要影响的步骤。认识到种族是高血压的一个危险因素，可以让卫生保健提供者确定哪些人可能从早期的积极干预中受益最大。可改变的因素，如吸烟、饮食和久坐不动的生活方式，以及医生对高血压治疗不足，都可以立即成为目标。
The prevalence of hypertension in African Americans is among the highest in the world. Persons in this group develop hypertension at a younger age than non-African Americans and develop more severe complications, including stroke, cardiovascular disease, and renal failure. The factors that impart this high risk to this population remain poorly understood and, undoubtedly, environmental factors overshadow genetic predisposition. While identifying the pathophysiologic and environmental factors that contribute to ethnic disparity in disease is important, finding a long-term solution is crucial. Steps that can have an important impact on health outcomes of African Americans are presently available. Awareness of ethnicity as a risk factor for hypertension can allow health care providers to identify persons who are likely to benefit most from early, aggressive intervention. Modifiable factors such as smoking, diet, and sedentary lifestyle, as well as undertreatment of hypertension by physicians, can be targeted immediately.