High blood pressure is the number one preventable risk factor for heart disease and stroke in the United States, and it disproportionately affects Asian American, Native Hawaiian, and Pacific Islander (AANHPI) communities. Yet many people do not know they have it. The American Heart Association is sharing essential information and tips to help manage blood pressure, starting with simple lifestyle changes.
Currently, approximately 125.9 million (47.3%) of all U.S. adults now live with high blood pressure, an increase from previous years. Of those, only about 1 in 4 adults (25.6%) have it under control. In the AANHPI community, high blood pressure is one of the most significant heart disease and stroke risk factors, affecting 1 in 2 men and more than 1 in 3 women. Hypertension alone was responsible for more than 4,000 deaths among AANHPI adults in the U.S. in 2023, equivalent to the average passenger capacity of about 10 jumbo jets. 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 Justin Lee, M.D., volunteer board member of the American Heart Association Greater Bay Area and general cardiologist at Stanford University. “When you have high blood pressure, it's not just a number on a chart - it's your future at stake and your ability to stay present for the people you love. The good news is: managing your blood pressure is not hard. The first step is awareness.”
The American Heart Association recommends getting your blood pressure checked regularly, even if you only visit your doctor or other health care clinician once a year. You can do it yourself with a home blood pressure monitor or at a kiosk at your local pharmacy or other retail outlet. According to the most recent guidelines from the American Heart Association, normal blood pressure is when systolic pressure (top number) is less than 120 and diastolic pressure (bottom number) is less than 80.
“One high reading isn’t usually cause for concern, although, if your blood pressure is consistently high, talk to your clinician about next steps,” Lee said. “However, an extremely high reading could be dangerous, especially if you are not exerting yourself or if you have certain other symptoms. Do not ignore that.” If your systolic pressure is higher than 180 and/or your diastolic is higher than 120, it could be life-threatening. Call 911 right away if you have extremely high blood pressure and any of these symptoms: chest pain, shortness of breath, back pain, numbness, weakness, change in vision, or difficulty speaking.
Making simple lifestyle changes is the first step to managing your blood pressure. The American Heart Association’s Life's Essential 8™ are simple, healthy habits that are proven to protect your heart: eat smart, be active, quit tobacco and nicotine, sleep well, manage weight, manage blood pressure, manage cholesterol, and manage blood sugar. Some people may still not be able to control their high blood pressure even with these changes. In that case, safe and effective medications are available, and you and your clinician can work together to choose the treatment plan that’s right for you. Check out the My Life Check calculator to get personalized tips to set your own health goals now.
New research confirms that high blood pressure can damage blood vessels in the brain, which may lead to memory problems and dementia as you get older. Taking action now to lower your numbers is essential in protecting your cognitive health as you age. It is also critical for women to manage blood pressure before, during and after pregnancy. High blood pressure during pregnancy can lead to serious complications and may increase a woman’s risk of future heart problems.
Don’t be afraid to talk to your doctor. They have new tools, like the American Heart Association’s PREVENT™ risk calculator, to create a personalized plan for you. This tool helps your doctor look at your personal risk factors to estimate your chances of a heart attack or stroke over the next 10 to 30 years, allowing them to create a tailored treatment plan that might include starting medication earlier if needed. Staying informed and taking action can help you and your loved ones live a longer, healthier life. Talk to your doctor to learn more about your blood pressure and what you can do to manage it.
