The XXXX in African Americans: a review.

@entity1 @entity353 @entity28 @entity6 @entity412 @entity65 @entity209 @entity413 @entity165
The @entity209 represents a specific clustering of cardiovascular risk factors. One of several recently proposed definitions encompasses 3 or more of the following 5 abnormalities: waist circumference > 102 cm in @entity1 or > 88 cm in women, serum @entity412 level > or = 150 mg/dL, high-density lipoprotein @entity165 level < 40 mg/dL in @entity1 or < 50 mg/dL in @entity1 , blood pressure (BP) > or = 130/> or = 85 mm Hg and serum @entity413 > or = 110 mg/dL. The diagnosis of @entity209 allows early recognition of an increased risk of @entity65 . African Americans have the highest coronary heart disease mortality of any ethnic group in the United States. African-American @entity1 and Hispanic @entity1 and @entity1 have the highest prevalence of the @entity209 . This phenomenon is attributable mainly to the disproportionate occurrence of elevated BP, @entity28 , and @entity6 in African Americans, and the high prevalence of @entity28 and @entity6 in Hispanics. Management of the @entity209 consists primarily of modification or reversal of the root causes and direct therapy of the risk factors. The first strategy involves @entity353 and increased physical activity, both of which can improve all components of the syndrome. The second strategy often involves drug treatment of the individual risk factors to further improve BP, lipids, and @entity413 thereby decreasing the risk of @entity65 . This comprehensive review is provided as part of the educational activities of the African-American Lipid and Cardiovascular Council (AALCC).
