Understanding Blood Pressure Management for African Americans: Expert Insights

High blood pressure carries many serious consequences for anyone. Unfortunately, African-Americans are more likely to develop it earlier and are more likely to suffer complications.

Blood Pressure Targets

• While standard guidelines list 140/90 or below as a target goal, University of Maryland Medical Center cardiologist Dr. Elijah Saunders recommends 130/80 or lower for African-Americans.

Number of Medications

• While many patients begin medical treatment of high blood pressure with one medication, Saunders recommends African-Americans start off with at least two that address different aspects of high blood pressure.

Importance of Diuretics

• Diuretics, which help the body excrete sodium and water, might be particularly important since this population is more likely to retain sodium and is more sensitive to it. Examples of diuretics include Lozol, Microzide and Lasix.

Ace-Inhibitors and Angiotensin II Receptor Blockers

• Saunders also recommends ACE inhibitors and angiotensin-receptor blockers for high blood pressure patients who suffer from diabetes or kidney disease. These drugs relax blood vessels and can slow advancement of kidney damage. Examples include Lotensin, Capoten, Teveten and Avapro.

Complementing Medication

• Certain lifestyle changes can complement blood pressure medication,s but Saunders does not believe you can ever go off your medication completely but only reduce it. Eat a low-sodium diet rich in fruits, vegetables and fiber. Do not smoke and exercise regularly.