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October 30, 1967

Hypertension in the Negro

Author Affiliations

Sewickley, Pa

JAMA. 1967;202(5):441. doi:10.1001/jama.1967.03130180107029

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To the Editor:—  The normal blood pressure levels in Negroes is occasionally the subject of discussion. Very little is available on this subject in the literature; textbooks state only that hypertension in Negro males has a more adverse prognosis than that in white males. According to this widely held concept, Negro males develop malignant sequelae earlier and succumb rapidly thereto. This concept may have been based on experience with advanced, hospitalized cases. Medical records of healthy population groups of all ages, examined for other reasons than ill health, rarely yield statistical information about the significance of "elevated" blood pressure in different racial groups.As full-time workers in occupational medicine, we have gained an impression about this question somewhat at variance with the reply to a question given by J. Marion Bryant, MD (201:69, 1967).In our work with 13,000 employees, we were impressed by the number of Negro employees