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Review
. 2024 Nov;26(11):1163-1171.
doi: 10.1007/s11886-024-02115-5. Epub 2024 Sep 5.

Tackling the Disproportionate Burden of Resistant Hypertension in US Black Adults

Tina K Reddy  1 , Samar A Nasser  2 , Anuhya V Pulapaka  3 , Constance M Gistand  3 , Keith C Ferdinand  4
Affiliations
Review

Tackling the Disproportionate Burden of Resistant Hypertension in US Black Adults

Tina K Reddy et al. Curr Cardiol Rep. 2024 Nov.

Abstract

Purpose of review: Elevated blood pressure is the leading modifiable risk factor for cardiovascular morbidity and mortality in the US. Older individuals, Black adults, and those with comorbidities such as chronic kidney disease, have higher levels of uncontrolled and resistant hypertension. This review focuses on resistant hypertension, specifically in the US Black population, including potential benefits and limitations of current and investigational agents to address the disparate toll.

Recent findings: There is a necessity to implement public health measures, including early screening, detection, and evidence-based hypertension treatment with lifestyle, approved and investigational agents. The evidence highlights the importance of implementing feasible and cost-effective public health measures to advocate for early screening, detection, and appropriate treatment of hypertension. A team-based approach involving physicians, advanced practice nurses, physician assistants, pharmacists, social workers, and clinic staff to implement proven approaches and the delivery of care within trusted community settings may mitigate existing disparities.

Keywords: Black patients; Disparities; Implementation; Resistant hypertension.

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Conflict of interest statement

Keith C. Ferdinand - Consultant for Amgen, Novartis, Janssen, Medtronic, Boehringer Ingelheim, Lilly.

All other authors declare no competing interests.

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Blood Pressure Lowering Mechanisms for Current and Emerging Agents
See this image and copyright information in PMC

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