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Thomas L. Delbanco, MD; Jennifer Daley, MD; Erin E. Hartman, MS

JAMA. 1998;279:1998.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

At the Medicine Grand Rounds held in May 1997, Suzanne Oparil, MD, discussed the evaluation and management of a 42-year-old African American man with poorly controlled hypertension, first diagnosed 14 years previously.¹ With blood pressures as high as 180/130 mm Hg since 1995, he had received sporadic care. At the time of the Rounds, he was obese, sedentary, hypertensive, and stressed by a difficult home and work environment, but insured through a commercial managed care program. An exercise tolerance test showed left ventricular hypertrophy and mild global hypokinesis, but there was no physical or laboratory evidence for other end-organ disease.

Dr Oparil discussed the epidemiology, pathogenesis, and management of hypertension, focusing on special issues African American patients confront. We asked the patient and his primary care doctor to comment on the year that has passed.

MR J, THE PATIENT

I feel better about . . . [Full Text of this Article]

DR L, THE PRIMARY PHYSICIAN

From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

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