August 22 Highlight and Commentary

Abstract

Ruland et al. analyzed baseline characteristics and risk-factor control for 1,809 African American patients with recent ischemic stroke followed for 2 years. The authors report that baseline disability and poor blood pressure control were predictive of recurrent stroke. Risk increased by 10% to 12% for each 10 mm Hg increase of blood pressure. see page 567 Commentary by Brett Kissela, MD There is controversy about the investigation of risk factors specific to minority race/ethnic groups. Some argue that the application of race/ethnic-specific findings to patient care is “racial medicine” and inappropriate since the same standards should be applied equally to the care of all patients. The gist of this argument is that race is a social construct rather than a scientific classification and that most members of the general population are …