应对美国黑人成年人中不成比例的顽固性高血压负担。

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reports Pub Date : 2024-11-01 Epub Date: 2024-09-05 DOI:10.1007/s11886-024-02115-5
Tina K Reddy, Samar A Nasser, Anuhya V Pulapaka, Constance M Gistand, Keith C Ferdinand
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引用次数: 0

摘要

审查目的:血压升高是美国心血管疾病发病率和死亡率的主要可改变风险因素。老年人、黑人以及患有慢性肾脏病等合并症的人,其未控制和抵抗性高血压的发病率较高。本综述重点关注耐药性高血压,特别是美国黑人中的耐药性高血压,包括当前和正在研究的药物的潜在益处和局限性,以解决不同人群的高血压问题:最近的研究结果:有必要实施公共卫生措施,包括早期筛查、检测,以及通过生活方式、已批准和正在研究的药物进行循证高血压治疗。这些证据强调了实施可行且具有成本效益的公共卫生措施,倡导早期筛查、检测和适当治疗高血压的重要性。由医生、高级护士、医生助理、药剂师、社会工作者和诊所工作人员共同参与的团队方法,在可信赖的社区环境中实施行之有效的方法和提供护理,可能会减轻现有的差异。
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Tackling the Disproportionate Burden of Resistant Hypertension in US Black Adults.

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.

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来源期刊
Current Cardiology Reports
Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
6.20
自引率
2.70%
发文量
209
期刊介绍: The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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