High Blood Pressure Crisis Hits Black Communities Harder, American Heart Association Warns

The American Heart Association is sounding the alarm on high blood pressure, particularly its devastating impact on Black communities. According to the organization’s latest data, nearly half of U.S. adults—125.9 million people—now have high blood pressure, a condition that remains the number one preventable risk factor for heart disease and stroke. But the burden falls disproportionately on Black Americans, with 62.3% of non-Hispanic Black men and 59.2% of non-Hispanic Black women affected, among the highest rates globally.

Despite high awareness, only about 22% of Black adults with hypertension have their condition under control. In 2023, cardiovascular conditions driven by uncontrolled high blood pressure claimed more than 119,000 Black lives—enough to fill nearly two NFL stadiums. The association is urging people to take action through simple lifestyle changes and regular monitoring.

“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 Dr. Keith C. Ferdinand, 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 American Heart Association emphasizes knowing your numbers. Normal blood pressure is defined as systolic less than 120 and diastolic less than 80. Checking blood pressure regularly—whether at a doctor’s office, with a home monitor, or a pharmacy kiosk—is critical. If systolic pressure exceeds 180 or diastolic exceeds 120, it can be life-threatening, and immediate medical attention is needed.

Lifestyle changes are the first line of defense. The association’s Life’s Essential 8—eat smart, be active, quit tobacco, sleep well, manage weight, control blood pressure, cholesterol, and blood sugar—offer science-backed steps. For some, medication may be necessary. The My Life Check calculator provides personalized goals.

New research confirms that high blood pressure can damage brain blood vessels, leading to memory problems and dementia. The association also stresses the importance of managing blood pressure before, during, and after pregnancy, as complications can increase future heart risks. Additionally, the PREVENT risk calculator helps doctors create personalized plans, potentially starting medication earlier.

“Staying informed and taking action can help you and your loved ones live a longer, healthier life,” the association said. For more information, visit heart.org.

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