Blood pressure gap leads to deaths of 8,000 blacks

The gap between the races in controlling blood pressure is well-known, but the resulting number of lives lost startled some scientists.

“We expected it to be big, but it was even larger than we anticipated,” said the lead author, Dr. Kevin Fiscella of the University of Rochester School of Medicine & Dentistry.

The study, released Monday in the Annals of Family Medicine, is being called the first to calculate the lives lost due to racial disparities in blood pressure control.

Fiscella said he believes steps can be taken to erase that gap. But a second article in the same journal found that racial differences in blood pressure treatment persisted in England despite a national health system that provides equal access to care.

Doctors may not be providing proper care, but some black patients may not be taking prescribed medicines or following medical advice, said Christopher Millett of the Imperial College of London.

However, another researcher said it is unfair to blame the patient.

“‘Compliance’ to me is a hateful word. It says, ‘I the great doctor and we the great health care service inform you what needs to be done and you don’t do it because you’re stupid, you’re incompetent’... I don’t accept that at all,” said Dr. Jeremiah Stamler, professor emeritus of preventive medicine at Northwestern University’s Feinberg School of Medicine.

High blood pressure — often called the “silent killer” because it has no symptoms — increases a person’s chances for heart disease, stroke and other serious problems. But it’s easy to check for and usually can be controlled through exercise, diet and medicine.

For decades, doctors have noted that a higher percentages of black Americans have high blood pressure than whites. The reasons for that include poverty and cultural habits. Both can prevent people from exercising, eating healthy foods and getting in to see a good doctor.

The study suggesting 8,000 black lives are lost due to uncontrolled blood pressure is based on earlier research that finds that about 40 percent of black adults have high blood pressure, compared with about 30 percent of whites.

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