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Blood pressure gap leads to deaths of 8,000 blacks

By THE ASSOCIATED PRESS  Tuesday, November 18, 2008

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ATLANTA -- The lives of nearly 8,000 black Americans could be saved each year if doctors could figure out a way to bring their average blood pressure down to the average level of whites, a surprising new study found.

The gap between the races in controlling blood pressure is well-known, but the resulting number of lives lost startled some scientists.

The study, released last week in the Annals of Family Medicine, is being called the first to calculate the lives lost due to racial disparities in blood pressure control.

The study's lead author, Dr. Kevin Fiscella of the University of Rochester School of Medicine & Dentistry, said he believes steps can be taken to erase that gap. But a second article in the same journal found that racial differences in blood pressure treatment persisted in England despite a national health system that provides equal access to care.

Doctors may not be providing proper care, but some black patients may not be taking prescribed medicines or following medical advice, said Christopher Millett of the Imperial College of London.

High blood pressure -- often called the "silent killer" because it has no symptoms -- increases a person's chances for heart disease, stroke and other serious problems. But it's easy to check for and usually can be controlled through exercise, diet and medicine.

For decades, doctors have noted that a higher percentages of black Americans have high blood pressure than whites. The reasons for that include poverty and cultural habits. Both can prevent people from exercising, eating healthy foods and getting in to see a good doctor.

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