Hypertension is one of the most prevalent and significant modifiable risk factors for cardiovascular disease (CVD) worldwide. It contributes substantially to morbidity, mortality, and healthcare expenditures through its association with coronary artery disease, stroke, heart failure, chronic kidney disease, and peripheral vascular disorders. Effective cardiovascular risk assessment among hypertensive individuals is essential for early intervention, personalized treatment planning, and prevention of adverse cardiovascular outcomes. This study reviews the relationship between hypertension and cardiovascular disease risk, explores major risk assessment approaches, and evaluates contemporary predictive models used in clinical practice. Through a comprehensive review of scientific literature, clinical guidelines, and epidemiological studies, the research highlights the importance of integrating blood pressure measurements with demographic, metabolic, and lifestyle risk factors. Findings indicate that comprehensive risk assessment significantly improves preventive care and patient outcomes. The study concludes that combining traditional risk models with emerging technologies such as artificial intelligence, genomics, and digital health monitoring can enhance future cardiovascular risk prediction and management.