Which drug class is preferred for treating hypertension in Black patients and the elderly?

The preferred drug class for treating hypertension in Black patients and the elderly is calcium channel blockers. This preference is based on clinical research showing that calcium channel blockers are particularly effective in these populations. In studies, these medications have been shown to lower blood pressure effectively and reduce cardiovascular morbidity and mortality.

Calcium channel blockers work by relaxing blood vessels, which decreases the workload on the heart and allows for better blood flow. This class of drugs is well-tolerated and has a favorable side effect profile, making it a suitable option for older adults who may be taking multiple medications for different conditions.

Moreover, the pathophysiology of hypertension in different populations can influence treatment effectiveness; black patients often respond better to calcium channel blockers compared to other antihypertensive agents like ACE inhibitors or beta blockers. This emphasizes the importance of tailoring hypertension treatment based on demographic factors and individual health considerations.

While other drug classes, such as diuretics and ACE inhibitors, have a role in managing hypertension and may work well for some individuals, calcium channel blockers have consistently shown better outcomes in these specific groups.