Document Type
Report
Department
Office of the Provost; Cardiology
Abstract
Untreated hypertension may contribute to increased atherosclerotic cardiovascular disease (ASCVD) risk in South Asians (SA). We assessed HTN prevalence among untreated adults free of baseline ASCVD from the MASALA & MESA studies. The proportion of participants who received discordant recommendations regarding antihypertensive pharmacotherapy use by the 2017-ACC/AHA and JNC7 Guidelines across CAC score categories in each race/ethnic group was calculated. Compared with untreated MESA participants (n = 3896), untreated SA (n = 445) were younger (55±8 versus 59±10 years), had higher DBP (73±10 versus 70±10 mmHg), total cholesterol (199±34 versus 196±34 mg/dL), statin use (16% versus 9%) and CAC=0 prevalence (69% versus 58%), with fewer current smokers (3% versus 15%) and lower 10-year-ASCVD-risk (6.4% versus 9.9%) (all p<0.001). A higher proportion of untreated MASALA and MESA participants were diagnosed with hypertension and recommended anti-hypertensive pharmacotherapy according to the ACC/AHA guideline compared to JNC7 (all p<0.001). Overall, discordant BP treatment recommendations were observed in 9% SA, 11% Whites, 15% Blacks, 10% Hispanics, and 9% Chinese-American. In each race/ethnic group, the proportion of participants receiving discordant recommendation increased across CAC groups (all p<0.05), however was highest among SA (40% of participants). Similar to other race/ethnicities, a higher proportion of SA are recommended anti-hypertensive pharmacotherapy by ACC/AHA as compared with JNC7 guidelines. The increase was higher among those with CAC>100 and thus may be better at informing hypertension management in American South Asians.
Publication (Name of Journal)
American Journal of Preventive Cardiology
DOI
10.1016/j.ajpc.2021.100158
Recommended Citation
Patel, J.,
Mehta, A.,
Al Rifai, M.,
Blaha, M. J.,
Nasir, K.,
McEvoy, J. W.,
Pandey, A.,
Kanaya, A. M.,
Kandula, N. R.,
Virani, S. S.
(2021). Hypertension guidelines and coronary artery calcification among South Asians: Results from MASALA and MESA. American Journal of Preventive Cardiology, 6, 100158.
Available at:
https://ecommons.aku.edu/provost_office/555
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Comments
Issue and pagination are not provided by the author/publisher. This work was published before the author joined Aga Khan University.