American Heart Association Highlights Alarming High Blood Pressure Rates in Black Communities

The American Heart Association is raising awareness about high blood pressure, the leading preventable risk factor for heart disease and stroke, with a particular focus on Black communities where the burden is severe. According to the association, approximately 125.9 million U.S. adults (47.3%) currently have high blood pressure, but the prevalence is significantly higher among non-Hispanic Black adults: 62.3% of men and 59.2% of women. Despite high awareness, only about 22% of Black adults with hypertension have it controlled. In 2023, cardiovascular conditions driven by uncontrolled high blood pressure claimed the lives of more than 119,000 Black Americans.

Keith C. Ferdinand, M.D., FAHA, FACC, volunteer co-vice chair of the writing committee for the Association’s 2025 high blood pressure guidelines, emphasized the personal impact of managing blood pressure. "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," he said. "The good news is: managing your blood pressure is not that hard. The first step is awareness."

The American Heart Association recommends regular blood pressure checks, whether at a doctor's office, using a home monitor, or at a pharmacy kiosk. Normal blood pressure is defined as systolic less than 120 and diastolic less than 80. One high reading is not usually cause for concern, but if consistently high, individuals should consult their clinician. Extremely high readings (systolic over 180 or diastolic over 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.

Lifestyle changes are key to managing blood pressure. The American Heart Association's Life's Essential 8 includes eating smart, being active, quitting tobacco, sleeping well, managing weight, and controlling blood pressure, cholesterol, and blood sugar. For those who need additional help, safe medications are available. The My Life Check calculator offers personalized tips.

New research confirms that high blood pressure can damage brain blood vessels, leading to memory problems and dementia. For women, managing blood pressure before, during, and after pregnancy is critical, as high blood pressure during pregnancy can lead to serious complications and increase future heart risks. The American Heart Association's PREVENT risk calculator helps clinicians create personalized treatment plans by estimating heart attack or stroke risk over 10 to 30 years. Staying informed and taking action can help individuals live longer, healthier lives.