Treating Kidney Disease in African American Patients - Watch WebMD Video

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ACE Inhibitors for African Americans

Reviewed By: Cynthia Haines,

SOURCES: This Video is from the WebMD Video Archive. Medical Reference from Medstar Television. www.medstar.comAmerican Heart Association, http://www.americanheart.orgNational Heart, Lung, and Blood Institute Health Information Network, http://www.nhlbi.nih.

© 1999-2011 Medstar Television

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Narrator:

Seventy-four-year-old Charles Rowland has high blood pressure and a mild decrease in kidney function. That made him a good candidate for a study that tested what to do for African-Americans with hypertensive kidney disease.

Robert Phillips, M.D., Ph.D.:

We were testing to see which drug was the best and which level of blood pressure control was the best.

Charles Rowland:

They would give me tests, they would take my pressure and check out all my kidneys and they would prescribe medication, which at the time I was taking it, I didn't even know and I couldn't even tell my family doctor what they were giving me.

Narrator:

Study participants took one of three blood pressure-lowering drugs currently on the market - an ace inhibitor, beta-blocker or calcium channel blockers. They were also put at one of two blood pressure levels.

Robert Phillips, M.D., Ph.D.:

Either a normal level, less than 140/90 or we were going to get them down to around 130/80.

Narrator:

Turns out ace inhibitors, which had been thought to be effective in blacks, worked best to prevent kidney conditions from worsening. Plus maintaining a *normal* blood pressure level was good enough.

Charles:

I know it's good.

Dr. Phillips:

How do you know that?

Charles:

'Cause it's always good.

Robert Phillips, M.D., Ph.D.:

You can get to that level. Many people think that you can't get to below 140/90 if you're black and have… and renal disease. That's not the case. We found that if you give enough medication and you pay attention to diet and lifestyle, you can get there.

Narrator:

Charles was on the right drug all along and still takes it.

Charles Rowland:

I'm doing well and my medications work and my pressure is good every time, you know. I'm very happy with that.

Narrator:

For WebMD, I'm Damon Meharg.

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