Home blood pressure telemonitoring reveals race-specific patterns of target organ damage.
J HypertensJul 17, 2026 (epub)
Dong-Yan Zhang, De-Wei An, Yu-Ling Yu et al.
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In 30 seconds
This multicenter randomized controlled trial examined racial differences in target organ damage (TOD) among high-risk Black and White patients aged 55-75 with home blood pressure monitoring. After a median follow-up of 34.7 months, findings revealed that Black patients exhibited worse chronic kidney disease (CKD) grades compared to White patients, despite similar blood pressure levels.
Key findings
- 32.2% of patients had home hypertension, with a median systolic/diastolic blood pressure of 127/77 mmHg.
- Black patients had worse CKD grades than White patients, independent of home blood pressure.
- Left atrial dimensions and stroke volume increased more steeply in nonhypertensive White patients compared to Black patients.
Why it matters
Understanding racial disparities in target organ damage can inform tailored treatment strategies. This study highlights the need for targeted interventions to address the specific cardiovascular and renal risks faced by different racial groups.