College of Nursing and Division of Cardiovascular Sciences, College of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd, Tampa, FL, 33612.
Semin Perinatol. 2017 Aug;41(5):278-286. doi: 10.1053/j.semperi.2017.04.004. Epub 2017 Jun 7.
Hypertension is a major independent risk factor for cardiovascular disease for all ethnic and racial groups. Compared with other lifestyle and metabolic risk factors, hypertension is the leading cause of death in women. Women with preeclampsia are three times more likely to develop chronic hypertension and have an elevated risk of future cardiovascular disease. The objective of this article is to provide a review of the factors related to racial and ethnic disparities in blood pressure control. This is followed by a summary of contemporary clinical practice guidelines for the prevention, through lifestyle behavioral modification, and treatment of hypertension with pharmacotherapy.
高血压是所有种族和民族心血管疾病的主要独立危险因素。与其他生活方式和代谢危险因素相比,高血压是导致女性死亡的主要原因。患有子痫前期的女性发生慢性高血压的可能性增加三倍,未来发生心血管疾病的风险也更高。本文的目的是综述与血压控制方面的种族和民族差异相关的因素。接下来,本文总结了当代临床实践指南,这些指南涉及通过生活方式行为改变来预防和治疗高血压,包括药物治疗。