{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:41:34Z","timestamp":1768869694559,"version":"3.49.0"},"reference-count":62,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,10,20]],"date-time":"2015-10-20T00:00:00Z","timestamp":1445299200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HHSN 260200900049C"],"award-info":[{"award-number":["HHSN 260200900049C"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>\n                    Hypertension is the most commonly diagnosed condition in persons aged 60 and older and is the single most important risk factor for cardiovascular disease (ischemic heart disease, heart failure, and stroke), kidney disease, and dementia. More than half of individuals with hypertension in the United States are aged 60 and older. Hypertension disproportionately affects African Americans, with all age groups, including elderly adults, having a higher burden of hypertension\u2010related complications than other U.S. populations. Multiple clinical trials have demonstrated the beneficial effects of blood pressure (\n                    <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n                    ) reduction on cardiovascular morbidity and mortality, with most of the evidence in individuals aged 60 and older. Several guidelines have recently been published on the specific management of hypertension in individuals aged 60 and older, including in high\u2010risk groups such as African Americans. Most recommend careful evaluation, thiazide diuretics and calcium\u2010channel blockers for initial drug therapy in most African Americans, and angiotensin\u2010converting enzyme inhibitors and angiotensin receptor blockers in those with chronic kidney disease or heart failure. Among the areas of controversy is the recommended target\n                    <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n                    in African Americans aged 60 and older. A recent U.S. guideline recommended raising the systolic\n                    <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n                    target from less than 140\u00a0mmHg to less than 150\u00a0mmHg in this population. This article will review the evidence and current guideline recommendations for hypertension treatment in older African Americans, including the rationale for continuing to recommend a\n                    <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>\n                    target of less than 140\u00a0mmHg in this population.\n                  <\/jats:p>","DOI":"10.1111\/jgs.13672","type":"journal-article","created":{"date-parts":[[2015,10,20]],"date-time":"2015-10-20T10:19:57Z","timestamp":1445336397000},"page":"2130-2138","source":"Crossref","is-referenced-by-count":14,"title":["Recognition and Management of Hypertension in Older Persons: Focus on African Americans"],"prefix":"10.1111","volume":"63","author":[{"given":"Carolyn H.","family":"Still","sequence":"first","affiliation":[{"name":"Frances Payne Bolton School of Nursing Case Western Reserve University Cleveland Ohio"},{"name":"Clinical Hypertension Program Division of Nephrology and Hypertension University Hospitals Case Medical Center Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith C.","family":"Ferdinand","sequence":"additional","affiliation":[{"name":"School of Medicine Tulane University New Orleans Louisiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gbenga","family":"Ogedegbe","sequence":"additional","affiliation":[{"name":"New York University School of Medicine Department of Population Health Center for Healthful Behavior Change New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Jackson T.","family":"Wright","sequence":"additional","affiliation":[{"name":"Clinical Hypertension Program Division of Nephrology and Hypertension University Hospitals Case Medical Center Cleveland Ohio"},{"name":"School of Medicine Case Western Reserve University Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,20]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Administration on Aging.A Profile of Older Americans 2011[on\u2010line]. 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