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Stroke and Hypertension in High-Risk African Americans

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Hypertension in High Risk African Americans

Part of the book series: Clinical Hypertension and Vascular Diseases ((CHVD))

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Abstract

Stroke is a leading cause of death but is preventable. Despite the overall decline of stroke mortality in the past 50 years, it has remained consistently higher in blacks than any other race/ethnic group. Research shows that approximately half of the excess black-to-white disparity in stroke risk is attributable to traditional stroke risk factors, primarily hypertension and diabetes. In addition to higher prevalence of hypertension in blacks, evidence supports that blacks are less likely to have their blood pressure controlled than whites. Recent data show that the impact of uncontrolled hypertension on stroke risk is three times greater for blacks than whites. Ambulatory BP monitoring has uncovered a variety of abnormalities that may predict stroke and are more prevalent in blacks, including masked hypertension, the nocturnal BP pattern, and circadian BP variability. With knowledge of the causes of the reasons for excess risk, interventions can be designed and implemented to reduce the unequal burden of stroke.

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Authors and Affiliations

  1. Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1720 2nd Avenue South, Birmingham, AL, 35294-0022, USA

    Virginia J. Howard Ph.D., F.A.H.A., F.S.C.T.

  2. College of Nursing & Health Innovation, Arizona State University, Phoenix, AZ, USA

    Megan E. Ruiter Petrov Ph.D.

  3. Vascular Biology and Hypertension Program, University of Alabama at Birmingham, Birmingham, AL, USA

    Tanya Dudenbostel M.D.

  4. Division of Preventive Medicine, Department of Medicine and Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA

    Stephen P. Glasser M.D.

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  1. Virginia J. Howard Ph.D., F.A.H.A., F.S.C.T.
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  2. Megan E. Ruiter Petrov Ph.D.
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Correspondence to Virginia J. Howard Ph.D., F.A.H.A., F.S.C.T. .

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  1. Cardiology, Tulane University School of Medicine, New Orleans, Louisiana, USA

    Keith C. Ferdinand

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Howard, V.J., Petrov, M.E.R., Dudenbostel, T., Glasser, S.P. (2015). Stroke and Hypertension in High-Risk African Americans. In: Ferdinand, K. (eds) Hypertension in High Risk African Americans. Clinical Hypertension and Vascular Diseases. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-2010-5_5

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