| Management of essential hypertension in the black patient: profiling as the initial approach to treatment. | |
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MedLine Citation:
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PMID: 2657078 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The pathophysiology and course of hypertensive cardiovascular disease in the black population differ significantly from those of nonblacks. The hemodynamic and endocrine profiles are different, consequences of hypertension are more severe in blacks, and black patients are often less responsive to standard antihypertensive treatment. Safe and efficacious treatment can be achieved when drug therapy is directed at the specific underlying pathophysiologic abnormality in black patients. By closely matching cardiovascular pathophysiologic findings in a given patient with the pharmacologic effects of an antihypertensive agent, blood pressure can often be controlled with fewer adverse effects. In addition, blood flow to target organs and their function can be maintained or improved. Calcium channel blockers are especially well suited for the treatment of essential hypertension in black patients. |
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Authors:
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F H Messerli |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of the National Medical Association Volume: 81 ISSN: 0027-9684 ISO Abbreviation: J Natl Med Assoc Publication Date: 1989 Jan |
Date Detail:
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Created Date: 1989-07-10 Completed Date: 1989-07-10 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 7503090 Medline TA: J Natl Med Assoc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 17-23 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult African Continental Ancestry Group* Aged Antihypertensive Agents / therapeutic use* Humans Hypertension / diagnosis, drug therapy*, physiopathology Middle Aged |
| Chemical | |
Reg. No./Substance:
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0/Antihypertensive Agents |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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