Hypertension remains the most prevalent cardiovascular disorder in Americans and a major contributor to all forms of other cardiovascular diseases, despite two decades of intensive screening to detect untreated hypertensive patients and a plethora of effective new antihy-pertensive agents. In black hypertensives the burden of elevated blood pressure is greater than for whites because of earlier onset and an increase in prevalence, severity, end-organ disease, complications, differential responsiveness to antihypertensive therapy, and various socioeconomic and behavioral factors. In addition, different pathophysiologic mechanisms may be responsible for blood pressure elevation in black hypertensives compared with whites. This review will describe our current understanding of these factors and provide a rationale for effective treatment. (Cardiol Rev 1993;1:35-41)
No takes yet. Share an insight, caveat, or question.
Myron H. Weinberger (1993) studied this question.