Hypertension or high blood pressure is associated with numerous risks. Controlling hypertension through blood pressure medication can reduce but not eliminate all risks. Though certain groups of people are more predisposed to hypertension, sometimes hypertension occurs in people who seem otherwise healthy. However, most experience hypertension as they age or if they are obese. People of African descent are in a slightly higher risk group for developing hypertension that is not related to weight gain or age. As well, those under extreme stress are at higher risk for hypertension.

Hypertension is a main causal factor in stress to the kidneys. As blood pressure rises, excess fluid accumulates in the body. The kidneys must work harder to handle extra fluid, and frequently become overworked as a result. Uncontrolled hypertension is responsible for about 15,000 new cases of kidney failure a year in the US alone.

Hypertension is also indicated in increased risk for stroke. As well, it can result in the hardening of the arteries, which is called atherosclerosis. This condition makes it easier for blood clots to form in narrowed pathways. Hypertension is also a major cause of heart attacks.

Those with hypertension can also go into heart failure, a gradual process where the heart begins to work less and less efficiently. Though medications can help reduce heart failure, late stage failure is a major cause of death. As well, the overworked heart can gradually enlarge, which again causes inefficiency of the heart muscles.

Those with hypertension are more prone to experiencing angina, which is extreme chest pain. They have also shown to be more prone to retinal damage and vision impairment. Some with hypertension may be at increased risk for bleeding in the brain, particularly due to either blood clots or aneurysms.

In all, the risks of hypertension are varied and most are quite serious. In many cases, hypertension can be controlled by changes in diet and exercise. When these alone fail to reduce blood pressure, medication is usually added. If hypertension is already causing fluid retention, it is quite common for people to also be on diuretics, which help the body shed excess fluid. Heart symptoms like failure and angina may also be controlled with medication. Anti-coagulants like aspirin or warfarin are also added to prevent clotting.

Blocked or hardened arteries may require surgery to open or bypass blockages. As well, heart surgery, or implantation of a pacemaker may be needed to address a slowing heart rhythm or an inefficient heart. Often these treatments can help reduce risks when high blood pressure remains controlled.