{"id":3679,"date":"2010-10-04T16:20:58","date_gmt":"2010-10-04T20:20:58","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?p=3679"},"modified":"2011-07-19T17:44:47","modified_gmt":"2011-07-19T21:44:47","slug":"consensus-statement-highlights-urgency-of-treating-hypertension-in-blacks","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2010\/10\/04\/consensus-statement-highlights-urgency-of-treating-hypertension-in-blacks\/","title":{"rendered":"Consensus Statement Highlights Urgency of Treating Hypertension in Blacks"},"content":{"rendered":"<div>\n<p>Hypertension in blacks should be treated earlier and more aggressively, according to an <a href=\"http:\/\/hyper.ahajournals.org\/cgi\/content\/abstract\/HYPERTENSIONAHA.110.152892v1\">update of the International Society on Hypertension in Blacks (ISHB) consensus statement<\/a> published in\u00a0<em>Hypertension<\/em>. The update lowers the threshold for treatment and recommends that:<\/p>\n<ul>\n<li>Lifestyle changes be initiated in African-Americans when blood pressure is at or above 115\/75 mm Hg.<\/li>\n<li>Drug therapy be initiated when blood pressure is at or above 135\/85 mm Hg for primary prevention and 130\/80 mm Hg for secondary prevention.<\/li>\n<li>Physicians employ combination drug therapy earlier than previously (the update makes specific recommendations for choosing drugs with numerous options for individualizing therapy).<\/li>\n<\/ul>\n<p>\u201cEvidence from several recently completed studies converged to convince our committee that we were waiting a little bit too long to start treating hypertension in African-Americans,\u201d said the lead author of the statement, John Flack, in a press release from the AHA. \u201cThe majority of patients of any race, and certainly African-Americans, are going to need more than one drug to be consistently controlled below their goal. The debate in the medical community over which single drug is best overwhelms the most pressing question: Which drugs work best together?\u201d<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Hypertension in blacks should be treated earlier and more aggressively, according to an update of the International Society on Hypertension in Blacks (ISHB) consensus statement published in\u00a0Hypertension. The update lowers the threshold for treatment and recommends that: Lifestyle changes be initiated in African-Americans when blood pressure is at or above 115\/75 mm Hg. Drug therapy [&hellip;]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[330,456,454],"class_list":["post-3679","post","type-post","status-publish","format-standard","hentry","category-prevention","tag-african-americans","tag-blood-pressure","tag-hypertension"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/3679","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=3679"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/3679\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=3679"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=3679"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=3679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}