Nearly Half of US Adults Have High Blood Pressure, American Heart Association Warns
The American Heart Association warns that nearly half of US adults have high blood pressure, the #1 preventable risk factor for heart disease and stroke, and urges lifestyle changes and regular monitoring.

The American Heart Association (AHA) is sounding the alarm on high blood pressure, the leading preventable risk factor for heart disease and stroke, as new data shows that nearly half of US adults now live with the condition. According to the AHA, approximately 125.9 million, or 47.3%, of all US adults have high blood pressure, an increase from previous years. Of those, only about 1 in 4 adults (25.6%) have it under control.
The consequences are severe. In 2023, high blood pressure was a primary or contributing factor in the deaths of more than 664,470 people in the US, a number equivalent to the passenger capacity of over 1,300 jumbo jets. "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. "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 first step is awareness."
The AHA emphasizes the importance of knowing your numbers. Normal blood pressure is defined as systolic pressure less than 120 mmHg and diastolic pressure less than 80 mmHg. Regular monitoring is crucial, whether at a doctor's office, with a home monitor, or at a pharmacy kiosk. An extremely high reading—systolic above 180 or diastolic above 120—could be life-threatening and requires immediate medical attention, especially if accompanied by symptoms like chest pain, shortness of breath, or difficulty speaking.
Lifestyle changes are the first line of defense. The AHA's Life's Essential 8 outlines key habits: eat smart, be active, quit tobacco and nicotine, sleep well, manage weight, manage blood pressure, manage cholesterol, and manage blood sugar. For those who still cannot control their blood pressure, safe and effective medications are available. 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, potentially leading to memory problems and dementia. The AHA also highlights special considerations for women, as high blood pressure during pregnancy can lead to serious complications and increase future heart risks. Physicians now have tools like the American Heart Association's PREVENT risk calculator to create personalized treatment plans.
Taking action now can help individuals live longer, healthier lives. For more information, visit heart.org.