Hypertension in African Americans Aged 60 to 79 Years: Statement From the International Society of Hypertension in Blacks

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 Nat...

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Bibliographic Details
Published in:	The journal of clinical hypertension (Greenwich, Conn.) Vol. 17; no. 4; pp. 252 - 259
Main Authors:	Egan, Brent M., Bland, Veita J., Brown, Angela L., Ferdinand, Keith C., Hernandez, German T., Jamerson, Kenneth A., Johnson, Wallace R., Kountz, David S., Li, Jiexiang, Osei, Kwame, Reed, James W., Saunders, Elijah
Format:	Journal Article
Language:	English
Published:	United States John Wiley and Sons Inc 01-04-2015
Subjects:	Adult Aged Antihypertensive Agents - therapeutic use Black or African American - ethnology Blood Pressure - drug effects Female Humans Hypertension - drug therapy Hypertension - ethnology Hypertension - physiopathology Male Middle Aged Nutrition Surveys Original Paper Societies, Medical
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Instructional Material/Guideline-3 content type line 23
ISSN:	1524-6175 1751-7176 1751-7176
DOI:	10.1111/jch.12511