Many Americans wrongly assume they understand what normal blood pressure is – and that false confidence can be deadly

by WANDI BRUINE DE BRUIN & MARK HUFFMAN

High blood pressure has no symptoms, so you could have it and not be aware. IMAGE/Nortonsx/iStock via Getty Images Plus

Stunning as it may sound, nearly half of Americans ages 20 years and up – or more than 122 million people – have high blood pressure, according to a 2023 report from the American Heart Association. And even if your numbers are normal right now, they are likely to increase as you age; more than three-quarters of Americans age 65 and older have high blood pressure.

Also known as hypertension, high blood pressure is a major risk factor for heart disease and stroke.

Our research has found that most Americans don’t know the normal or healthy range for blood pressure – yet strikingly, they think they do. And that is cause for serious concern.

We are a health communications expert and a cardiologist. Together with our health communication collaborators, we surveyed more than 6,500 Americans about their knowledge of blood pressure. They were recruited through the Understanding America Study, a nationally representative sample of U.S. residents.

In our new study, published in January 2023, we found that 64% expressed confidence in their understanding of blood pressure numbers – but only 39% actually knew what normal or healthy blood pressure is.

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