Hypertension: detection and management in South Africa

Nephron. Clinical Practice
Brian Rayner

Abstract

High blood pressure in South Africa is estimated to have caused 46,888 deaths and 390,860 disability-adjusted life years in 2000. Detection and management of hypertension remains suboptimal due to inadequate public health care facilities. Mass migration of rural blacks to urban areas and rapid changes in lifestyle and risk factors account for the rising prevalence of hypertension, but genetic factors may also play an important contributory role. Black South Africans also appear to be more prone to complications of hypertension, particularly stroke, heart failure, and hypertensive nephrosclerosis, and respond poorly to ACE inhibitors as monotherapy. Proactive public health interventions at a population level need to be introduced to control this growing epidemic.

Citations

Mar 24, 2012·PloS One·Bob MashWilly Yogolelo
Jun 6, 2013·Cardiovascular Journal of Africa·Karl Peltzer, Nancy Phaswana-Mafuya
Apr 3, 2012·International Journal of Cardiology·A J SchultzR Schutte
Apr 26, 2017·Journal of Hypertension·Thiago Veiga JardimThomas A Gaziano
Sep 1, 2017·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·A R KiselevV I Gridnev
Sep 14, 2016·Hypertension·Paul K WheltonUNKNOWN National Heart, Lung, and Blood Institute Working Group on Research Needs to Improve Hypertension Treatment and Control in A
Aug 8, 2019·Tropical Medicine & International Health : TM & IH·Monica Sharman, Max Bachmann
Dec 12, 2019·Frontiers in Public Health·Lara Kim BrackmannAntje Hebestreit

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