Barriers to blood pressure control in African Americans

Overcoming obstacles is challenging, but target goals can be attained

Janice G. Douglas Dr Douglas is professor of medicine, pharmacology, physiology, and biophysics, and director, division of hypertension, department of medicine, Case Western Reserve University School of Medicine and University Hospitals of Cleveland.Correspondence[email protected]

, MD,

Keith C. Ferdinand Dr Ferdinand is professor of clinical pharmacology, Xavier University, and medical director, Heartbeats Life Center of Louisiana, New Orleans.

, MD,

George L. Bakris Dr Bakris is professor, departments of preventive medicine and internal medicine; vice chairman, department of preventive medicine; and director, Rush Hypertension Clinical Research Center, Rush-Presbyterian-St Luke's Medical Center, Chicago.

, MD &

James R. Sowers Dr Sowers is professor, departments of medicine, biochemistry, and cell biology, and director, departments of endocrinology, diabetes, and hypertension, State University of New York Health Science Center at Brooklyn College of Medicine.

, MD

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Among the many barriers to the control of hypertension are the failure to diagnose high blood pressure in medical offices and hospitals, inadequate treatment regimens, side effects of medications, and poor adherence to the needed lifestyle changes. What is critical in this discussion, however, is the recognition that African Americans tend to be more intensely and negatively affected by some of the barriers to blood pressure control that may concern all hypertensive patients. In this article, the authors describe barriers to achieving control of hypertension and suggest practical ways to overcome these obstacles.

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Barriers to blood pressure control in African Americans

Overcoming obstacles is challenging, but target goals can be attained

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Barriers to blood pressure control in African Americans

Overcoming obstacles is challenging, but target goals can be attained

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