My husband is 58 and has had untreated high blood pressure for 20 years. he won't take medication. he's heavy. is he at risk for heart disease?

Yes: Youf husband is not thinking right. With high blood pressure he is at risk for strokes, heart disease, kidney failure. She should have a full work up and be treated.

YES: High BP is a silent killer. It causes few symptoms until it's already damaged the heart, brain or kidneys. Usually by then damage is irreversible. Some media reports might confuse people because there's been recent debate about whether treatment is needed for mild hypertension. But it's pretty clear to everyone that anything over 150/90 or so is dangerous, especially over another 20-30 years.