Black Americans face higher rates of heart failure and stroke due to a combination of social determinants of health and structural racism. These factors include limited access to healthcare, healthy food, safe environments for exercise, and economic stability. High blood pressure is a significant contributor, often undiagnosed or poorly managed due to these barriers. Studies show that even when Black patients receive care, they are less likely to get life-saving treatments. Addressing these disparities requires community-level changes, early medical intervention, and recognizing generational health risks.