PAGE involves several studies, described briefly below and in more detail in Text S1 as well as at the PAGE website (https://www.pagestudy.org) [40]. In brief, participants were recruited from Atherosclerosis Risk in Communities Study (ARIC), GenNet, Hypertension Genetic Epidemiology Network (HyperGEN), Multiethnic Cohort (MEC), and Women's Health Study (WHI). ARIC randomly selected and recruited 15,792 participants aged 45–64 at four U.S. communities [41]. GenNet and HyperGEN are two family-based studies designed to investigate the genetics of hypertension and related conditions [42]. The Multiethnic Cohort (MEC) is a population-based prospective cohort study of over 215,000 men and women in Hawaii and California aged 45–75 at baseline (1993–1996) and primarily of five ancestries [43]. The WHI encompasses four randomized clinical trials as well as a prospective cohort study of 161,808 post-menopausal women aged 50–79, recruited (1993–1998) and followed up at 40 centers across the US [44]. All studies collected self-identified racial/ethnic group via questionnaire. We selected all AA participants from ARIC, HyperGEN, and GenNet for genotyping. In MEC, a subset of AAs was selected based on availability of biomarker or as controls