(HealthDay News) — Lifetime risks of hypertension under the American Heart Association (AHA) and American College of Cardiology (ACC) 2017 threshold exceed 75% for white men and African-American men and women, according to a study published online in JAMA Cardiology.

Vincent Chen, from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues quantified and compared lifetime risks for hypertension in white and African-American men and women under the hypertension thresholds of the AHA/ACC 2017 (single blood pressure measurement of ≥130/80 mm Hg or self-reported antihypertensive medication use) and the Seventh Joint National Commission (JNC7; ≥140/90 mm Hg or use of antihypertensive medications). Data were included for 13,160 participants who contributed 227,600 person-years of follow-up.

The researchers found that for participants entering the data set between age 20 and 30 years, the baseline prevalence of hypertension under the AHA/ACC 2017 threshold was 30.7% in white men, 23.1% in African-American men, 10.2% in white women, and 12.3% in African-American women. The lifetime risks for hypertension were 83.8, 86.1, 69.3, and 85.7% for white men, African-American men, white women, and African-American women, respectively. These risks were greater than the corresponding lifetime risks with the JNC7 thresholds (60.5, 74.7, 53.9, and 77.3%, respectively).

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“Blood pressure awareness and primordial prevention early in the life course is needed to curb the epidemic of hypertension-associated diseases,” the authors write.

One author disclosed serving as a consultant for NGM Bio.


Chen V, Ning H, Allen N, et al. Lifetime Risks for Hypertension by Contemporary Guidelines in African American and White Men and Women. JAMA Cardiol. DOI:10.1001/jamacardio.2019.0529