Minority Health Archive

Eliminating Disparities in Hypertension Care for Hispanics and Blacks Using a Heart Failure Disease Management Program

Hebert, Kathy and Julian, Elyse and Alvarez, Jorge and Dias, Andre and Tamariz, Leonardo and Arcement, Lee and Quevedo, Henry C. (2011) Eliminating Disparities in Hypertension Care for Hispanics and Blacks Using a Heart Failure Disease Management Program. Southern Medical Journal, 104 (8). pp. 567-573. ISSN 0038-4348

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Abstract

Objectives: This study assessed if patients enrolled in a heart failure disease management program (HFDMP) reach the JNC VII target goals for blood pressure (BP) control, eliminate disparities in hypertension control by race/ethnicity and the impact BP control has on survival. Methods: Patients (N = 898) with an ejection fraction <40% were enrolled into two HFDMPs and screened for hypertension, defined as BP > 130/80. Results: Mean baseline systolic BP (SBP) 132 +/- 25.5 mm Hg and diastolic BP (DBP) 79 +/- 16.8 mm Hg. Final mean SBP decreased to 129.6 mm Hg, DBP 77.6 mm Hg. Whites had the highest rate of achieving BP goals. Mortality reduction was associated with minority race, history of hypertension, increase ejection fraction and statin use. Conclusion: HFDMPs are an effective way to reduce BP in hypertensive patients. Disparities by race and ethnicity were not seen after adjustment for disease modifiers. There was no mortality difference in those who reached BP goal.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: disease management; disparity; heart failure; hypertension
Subjects: Health > Disparities
Health > Public Health > Chronic Illness & Diseases > Hypertension
Practice
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    Depositing User: Users 141 not found.
    Date Deposited: 20 Aug 2011 12:42
    Last Modified: 20 Aug 2011 12:42
    Link to this item (URI): http://health-equity.pitt.edu/id/eprint/3119

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