BMJ  2006;332:833-836 (8 April), doi:10.1136/bmj.332.7545.833

Practice

Hypertension and ethnic group

¹ Clinical Pharmacology Unit, University of Cambridge, Addenbrooke's Hospital, Cambridge CB2 2QQ mjb14@cam.ac.uk

The first 150 words of the full text of this article appear below.

Are there ethnic differences in the pathogenesis of hypertension and are these sufficient to influence choice of treatment? I will also consider prevalence and complications. Because hypertension is the biggest and an almost entirely treatable cause of cardiovascular disease, even small ethnic differences in its optimum management have large implications for health resources. Ethnic differences in the type of hypertension give us the strongest evidence that we have for the concept that hypertension exists in two broad types. As for diabetes, hypertension can usefully be considered as of type 1 or type 2, each with its own preferred treatment. Results of recent trials support this view and emphasise the importance of choosing the right strategy for the type of hypertension to be treated.

Numerous published studies, including many reviews, compare one or more of the four parameters to be discussed in different ethnic groups. A few have prospectively identified similar . . . [Full text of this article]

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