African Americans are more likely to develop
high blood pressure and often have more severe high
blood pressure than other groups. They also are more likely to develop the
condition at an earlier age than others. It is not known why they are at
greater risk.
African Americans who are sensitive to salt (sodium), are
obese, or smoke are at even higher risk for high blood pressure. As a result,
African Americans with these additional risk factors tend to have more organ
damage, such as kidney disease, heart attack, and enlargement of the heart,
which can lead to
heart failure (hypertensive heart disease). Lifestyle
changes are especially important in this group.
African Americans who do not control their high blood pressure are at
a higher risk for heart disease and
stroke. Early treatment, usually with a combination of
medicines, is recommended.1