Steichen Olivier
Service d'hypertension artérielle, Hôpital européen Georges-Pompidou, 75651 Paris Cedex 15.
Rev Prat. 2010 May 20;60(5):654-9.
Black skin is a common feature of many ethnic groups living in Africa, or originating from Africa and living in America or Europe. Despite this variety, hypertension in blacks is assumed to have several common epidemiological, physiological and clinical characteristics. However, on the epidemiological level, the increase of hypertension prevalence and its association with obesity and diabetes are linked with the detrimental effect of an urbanized and westernized environment. Most physiological theories are unsophisticated and have no useful consequence at the individual level. The care of black hypertensive patients is therefore quite standard and involves the integration of associated risk factors, target-organ damage and compelling conditions, as well as lifestyle and illness representation.
黑色皮肤是许多生活在非洲、或起源于非洲并生活在美洲或欧洲的族裔群体的共同特征。尽管存在这种差异,但黑人高血压被认为具有若干共同的流行病学、生理学和临床特征。然而,在流行病学层面,高血压患病率的上升及其与肥胖和糖尿病的关联与城市化和西方化环境的有害影响有关。大多数生理学理论都很简单,在个体层面上没有实际意义。因此,黑人高血压患者的护理相当规范,包括相关危险因素、靶器官损害和强制治疗情况的综合评估,以及生活方式和疾病认知。