Showing papers by "Henry R. Black published in 2015"

Treatment of Hypertension in Patients With Coronary Artery Disease A Scientific Statement From the American Heart Association, American College of Cardiology, and American Society of Hypertension

Abstract: 1. Relationship Between Hypertension and CAD 1374 2. Prevention of Cardiovascular Events in Patients With Hypertension and CAD 1380 3. BP Goals 1382 4. Management of Hypertension in Patients With CAD and Stable Angina 1386 5. Management of Hypertension in Patients With ACS 1388

Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 6: Hypertension: A Scientific Statement from the American Heart Association and the American College of Cardiology

Abstract: An elevation of blood pressure (BP) in the systemic circulation (hypertension) is the most common cardiovascular condition in the general population and considered to be the most ubiquitous cardiovascular risk factor in competitive athletes. Competitive athletes include those athletes involved in organized sports that typically occur in schools, communities, and professional leagues, including but not limited to intramural and league sports in which medical supervision is typically required. Although most competitive athletes are between the ages of 20 and 40 years, many younger people now participate in competitive athletics. The 2013 update from the American Heart Association using the National Health and Nutrition Examination (NHANES) data from 2007 to 2010 estimates that 9.1% of men aged 20 to 34 years and 6.7% of women of that age are hypertensive, based on having an elevated BP measurement or answering “yes” to the question, “Are you taking antihypertensive medication or were you told that you had hypertension?”1 The prevalence in children and adolescents is estimated to be ≈3.5%, with higher percentages in older and obese children.2 The diagnosis of hypertension is based on the subject having an elevated BP at or above certain levels measured by routine sphygmomanometry under appropriate conditions on at least 2 separate occasions separated by at least 1 week.3 However, BP measurements in the competitive athlete are typically obtained by different healthcare providers, which makes it particularly necessary that the testing conditions be standardized before the diagnosis of hypertension is made. People >18 years of age with a BP >140 mm Hg systolic and/or >90 mm Hg diastolic are considered to have hypertension.3 In children and adolescents, hypertension is defined as average systolic or diastolic BP levels greater than the 95th percentile for sex, age, and height; however, earlier physical maturation of the competitive athlete leaves …

Lack of blood pressure difference by race in professional American football players.

Abstract: Previous findings suggest that professional American football players have higher blood pressures (BP) and a higher prevalence of pre-hypertension and hypertension than the general population. We sought to determine whether race is associated with differences in BP and prevalence of pre-hypertension and hypertension among a large sample of professional football players. BP was measured at 2009 team mini-camps for 1484 black (n = 1007) and white (n = 477) players from 27 National Football League (NFL) teams. Players were categorized into three position groups based on body mass index (BMI). There was no racial difference in mean systolic or diastolic BP in any of the three position groups. There were no racial differences in prevalence of hypertension (99 [9.8%] black players vs. 39 [8.2%] white players; P = .353) or pre-hypertension (557 [55.3%] black players vs. 264 [55.3%] white players; P = 1.0). Contrary to findings in the general population, BP and prevalence of pre-hypertension/hypertension did not vary with race in a large population of active NFL players.

Research Article Lack of blood pressure difference by race in professional American football players

Abstract: Previous findings suggest that professional American football players have higher blood pressures (BP) and a higher prevalence of pre‐hypertension and hypertension than the general population We sought to determine whether race is associated with differences in BP and prevalence of pre‐hypertension and hypertension among a large sample of professional football players BP was measured at 2009 team mini‐camps for 1484 black (n ¼ 1007) and white (n ¼ 477) players from 27 National Football League (NFL) teams Players were categorized into three position groups based on body mass index (BMI) There was no racial difference in mean systolic or diastolic BP in any of the three position groups There were no racial differences in prevalence of hypertension (99 [98%] black players vs 39 [82%] white players; P ¼ 353) or pre‐hypertension (557 [553%] black players vs 264 [553%] white players; P ¼ 10) Contrary to findings in the general population, BP and prevalence of pre‐hypertension/hypertension did not vary with race in a large population of active NFL players J Am Soc

Treatment: special conditions: resistant hypertension.

Abstract: One of the most common reasons that physicians and other health care providers refer a patient to a hypertension specialist is because that patient’s blood pressure (BP) is not at goal. The term that has become most commonly used now to classify and define these patients is ‘‘resistant hypertension,’’ but some still refer to these patients as having refractory hypertension. A resistant hypertensive patient as defined by the Seventh Joint National Committee on the Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC 7), is one whose properly measured BP in the office is above goal on three or more appropriately chosen antihypertensive agents administered at appropriate doses, that the patient is taking. One of these agents must be a diuretic. There are several elements to this definition that bear emphasis: