Barriers to blood pressure control in African Americans. Overcoming obstacles is challenging, but target goals can be attained
Douglas, J.G.; Ferdinand, K.C.; Bakris, G.L.; Sowers, J.R.
Postgraduate Medicine 112(4): 51
2002
ISSN/ISBN: 0032-5481 PMID: 12400149 Document Number: 546890
Outdated and biased attitudes and care standards impede optimal care of hypertension in African Americans. The negative expectations that blood pressure targets cannot be reached must be overcome by systematic and appropriate education and treatment. However, physicians should expect that (1) African American patients with elevated blood pressure benefit from early and intensive management, (2) blood pressure can be maintained at goal with appropriate therapeutic lifestyle changes and medications, and (3) complications related to high blood pressure can be avoided. To bring blood pressure down to the target goal, combination pharmacologic therapy is often required. When extensive efforts to achieve blood pressure control prove unattainable in the primary care setting, consultation with a hypertension specialist should be considered.