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10.1016/j.jnma.2020.05.018 http://scihub22266oqcxt.onion/10.1016/j.jnma.2020.05.018 32563685!7301145!32563685     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Natl+Med+Assoc 2020 ; 112 (3): 315-323 Nephropedia Template TP {{tp|p=32563685|t=2020. Contemporary and Future Concepts on Hypertension in African Americans: COVID-19 and Beyond |pdf=|usr=}}{{32563685}} gab.com Text Contemporary and Future Concepts on Hypertension in African Americans: COVID-19 and Beyond JO: J Natl Med Assoc http://www.kidney.de/pget.php?&tw=1&pmid=32563685 #FOAvip BACKGROUND: Cardiovascular disease related mortality is the leading cause of death in the United States, with hypertension being the most prevalent and potent risk factor. For decades hypertension has disproportionately affected African Americans, who also have a higher burden of associated comorbidities including diabetes and heart failure. METHODS: Current literature including guideline reports and newer studies on hypertension in African Americans in PubMed were reviewed. We also reviewed newer publications on the relationship between COVID-19 and cardiovascular disease. FINDINGS: While APOL1 has been theorized in the epidemiology of hypertension, the increased prevalence and associated risks are primarily due to environmental and lifestyle factors. These factors include poor diet, adverse lifestyle, and social determinants. Hypertension control can be achieved by lifestyle modifications such as low sodium diet, weight loss, and adequate physical activity. When lifestyle modifications alone do not adequately control hypertension, a common occurrence among African Americans who suffer with greater prevalence of resistant hypertension, pharmacological intervention is indicated. The efficacy of renal denervation, and the use of sodium-glucose cotransporter 2 and aminopeptidase A inhibitors, have been studied for treatment of resistant hypertension. Furthermore, the recent COVID-19 crisis has been particularly devastating among African Americans who demonstrate increased incidence and poorer health outcomes related to the disease. CONCLUSION: The disparities in outcomes, which are largely attributable to a greater prevalence of comorbidities such as hypertension and obesity, in addition to adverse environmental and socioeconomic factors, highlight the necessity of specialized clinical approaches and programs for African Americans to address longstanding barriers to equitable care. Twit Text FOAVip Contemporary and Future Concepts on Hypertension in African Americans: COVID-19 and Beyond ????J Natl Med Assoc http://www.kidney.de/pget.php?&tw=1&pmid=32563685 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32563685 #FOAvip English Wikipedia <ref>{{Cite pmid|32563685}}</ref> Contemporary and Future Concepts on Hypertension in African Americans: COVID-19 and Beyond #MMPMID32563685 Ferdinand K; Batieste T; Fleurestil M J Natl Med Assoc 2020[Jun]; 112 (3): 315-323 PMID32563685show ga BACKGROUND: Cardiovascular disease related mortality is the leading cause of death in the United States, with hypertension being the most prevalent and potent risk factor. For decades hypertension has disproportionately affected African Americans, who also have a higher burden of associated comorbidities including diabetes and heart failure. METHODS: Current literature including guideline reports and newer studies on hypertension in African Americans in PubMed were reviewed. We also reviewed newer publications on the relationship between COVID-19 and cardiovascular disease. FINDINGS: While APOL1 has been theorized in the epidemiology of hypertension, the increased prevalence and associated risks are primarily due to environmental and lifestyle factors. These factors include poor diet, adverse lifestyle, and social determinants. Hypertension control can be achieved by lifestyle modifications such as low sodium diet, weight loss, and adequate physical activity. When lifestyle modifications alone do not adequately control hypertension, a common occurrence among African Americans who suffer with greater prevalence of resistant hypertension, pharmacological intervention is indicated. The efficacy of renal denervation, and the use of sodium-glucose cotransporter 2 and aminopeptidase A inhibitors, have been studied for treatment of resistant hypertension. Furthermore, the recent COVID-19 crisis has been particularly devastating among African Americans who demonstrate increased incidence and poorer health outcomes related to the disease. CONCLUSION: The disparities in outcomes, which are largely attributable to a greater prevalence of comorbidities such as hypertension and obesity, in addition to adverse environmental and socioeconomic factors, highlight the necessity of specialized clinical approaches and programs for African Americans to address longstanding barriers to equitable care. |Adult[MESH] |Aged[MESH] |Black or African American/*statistics & numerical data[MESH] |COVID-19[MESH] |Cardiovascular Diseases/diagnosis/epidemiology/*ethnology[MESH] |Coronavirus Infections/epidemiology/*ethnology[MESH] |Female[MESH] |Health Status Disparities[MESH] |Healthcare Disparities/*ethnology/statistics & numerical data[MESH] |Humans[MESH] |Hypertension/diagnosis/*ethnology/therapy[MESH] |Male[MESH] |Middle Aged[MESH] |Needs Assessment[MESH] |Pandemics[MESH] |Pneumonia, Viral/epidemiology/*ethnology[MESH] |Prevalence[MESH] |Socioeconomic Factors[MESH] |Survival Analysis[MESH] |United States/epidemiology[MESH]Contemporary and Future Concepts on Hypertension in African Americans:(epmc).pdf DeepDyve Pubget Overpricing