SBP better predicts CVD in black young adult patients
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Systolic blood pressure (SBP) is a better predictor of cardiovascular disease (CVD) than diastolic blood pressure (DBP) for black patients younger than 50 y, unlike their white counterparts.
Why this matters
"One size may not fit all" in clinical blood pressure management; young black adults with high SBP and young white adults with high DBP could benefit from different therapeutic strategies for preventing premature CVD events.
Researchers studied a community-based cohort of black and white patients (N=4880), measuring blood pressure both at baseline and 15 y and tracking incident CVD events including coronary heart disease, stroke, heart failure, and other vascular diseases.