Coronary Heart Disease In African Americans
This fact represents one of the most hopeful areas in disease management; since CHD age-adjusted fatality rates remain higher for
African Americans than for whites, the major killer of African Americans can be significantly controlled through limitation of risk factors such as hypertension, diabetes, and cigarette smoking. Reduction of CHD risk factors in African American men and women just to the levels seen in whites should result in a considerable saving of lives and represents one of the best possible
payoffs to public health efforts.
Recently, the National Heart, Lung and Blood Institute (NHLBI) and the Officeepidemiological studies, over the past two decades, randomized cardiovascular research investigations providing data on CHD morbidity and mortality have included only 2-9 per cent African American patients in their study populations.
Other investigations which should shed more light on cardiovascular disease in African Americans are the Antihypertensive and Lipid-lowering Treatment to Prevent Heart Attack Trial (ALLHAT), and the African American Study of Kidney Disease (AASK). These trials are still in progress.