The American Heart Association (AHA) is drawing attention to the disproportionate impact of high blood pressure on Black communities, releasing key facts and tips to help individuals manage their blood pressure. According to the AHA, high blood pressure is the #1 preventable risk factor for heart disease and stroke, affecting nearly half of U.S. adults—approximately 125.9 million people. However, the burden is significantly higher in the Black community, where 62.3% of non-Hispanic Black men and 59.2% of non-Hispanic Black women have high blood pressure, among the highest prevalence rates in the world.
Despite high awareness, only about 22% of Black adults with hypertension have the condition under control. In 2023, cardiovascular conditions driven by uncontrolled high blood pressure claimed the lives of more than 119,000 Black Americans, enough to fill nearly two NFL stadiums. This “silent killer” demands attention because controlling blood pressure is one of the most effective, evidence-based ways to reduce the risk of heart disease and stroke.
“Heart health is intensely personal, and scientific research shows us that one of the most important things you can do to be heart healthy is to manage your blood pressure,” said Keith C. Ferdinand, M.D., FAHA, FACC, volunteer co-vice chair of the writing committee for the Association’s 2025 high blood pressure guidelines and chair in preventative cardiology at Tulane University School of Medicine. “When you have high blood pressure, it's not just a number on a chart, it's your future at stake; it's your ability to stay present for the people you love. The good news is: managing your blood pressure is not that hard. The first step is awareness.”
The AHA recommends regular blood pressure checks, even if you only visit a doctor once a year. Home blood pressure monitors or pharmacy kiosks can help track numbers. According to the most recent guidelines, normal blood pressure is less than 120 systolic and less than 80 diastolic. One high reading isn’t usually cause for concern, but if consistently high, it's important to talk to a clinician. Extremely high readings—systolic above 180 or diastolic above 120—can be life-threatening and require immediate medical attention, especially if accompanied by chest pain, shortness of breath, back pain, numbness, weakness, vision changes, or difficulty speaking.
Simple lifestyle changes are the first step to managing blood pressure. The AHA’s Life’s Essential 8™ include eating smart, being active, quitting tobacco and nicotine, sleeping well, managing weight, managing blood pressure, managing cholesterol, and managing blood sugar. Some people may still need medications, and the AHA encourages working with a clinician to find the right treatment plan. The My Life Check Calculator offers personalized tips to set health goals.
New research confirms that high blood pressure can damage blood vessels in the brain, leading to memory problems and dementia as people age. Taking action now is essential for protecting cognitive health. Additionally, women need to manage blood pressure before, during, and after pregnancy, as high blood pressure during pregnancy can lead to serious complications and increase future heart risks.
The AHA also highlights the PREVENT™ risk calculator, a tool that helps doctors estimate a person’s risk of heart attack or stroke over 10 to 30 years. This allows for tailored treatment plans, potentially including earlier medication. By staying informed and taking action, individuals can help themselves and their loved ones live longer, healthier lives.
