Uncontrolled hypertension (HTN) in the U.S. is particularly prevalent and devastating among black individuals, who disproportionately suffer the consequences of this condition to a greater extent compared with persons in other racial/ethnic groups. Furthermore, African Americans are often underrepresented in cardiovascular clinical trials, limiting the ability to reliably apply the results from many outcome studies in this specific population. In this review, we summarize and analyze the currently available evidence, specifically related to the risk factors, manifestations, complications and management of HTN in this often difficult-to-treat population. The aim of the review is to improve understanding of the underlying pathophysiologic mechanisms and identify the optimal approach to deliver the best care for African American patients.

中文翻译：

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非裔美国人高血压最新情况。

在美国，不受控制的高血压（HTN）在黑人个体中尤为普遍和严重，与其他种族/族裔群体的人相比，黑人遭受这种疾病的后果更大。此外，非洲裔美国人在心血管临床试验中的代表性不足，限制了在该特定人群中可靠地应用许多结果研究结果的能力。在这篇综述中，我们总结和分析了目前可用的证据，特别是与这一经常难以治疗的人群中HTN的危险因素，表现，并发症和管理有关的证据。审查的目的是增进对潜在病理生理机制的了解，并确定为非裔美国人患者提供最佳护理的最佳方法。