An elderly woman gets her blood pressure checked while at her annual physical exam.
Healthcare tips

Understanding Blood Pressure Readings: What Do the Numbers Mean?

May 7, 2025

You may be used to the few standard tests your provider does when you visit their office: taking your temperature, getting your weight and height, and taking your blood pressure reading. But have you ever understood what your blood pressure reading means beyond it being “good” or not?

Understanding your blood pressure readings empowers you to take a more active role in your health. Let's break it down.

What Is Blood Pressure?

Blood pressure is the force of blood pushing against the walls of your arteries as your heart pumps. It's recorded as two numbers, usually written as systolic over diastolic (e.g., 120/80 mmHg). Both numbers are important indicators of your cardiovascular health.

The Systolic Number

The systolic number, the top number, represents the pressure in your arteries when your heart muscle contracts (beats) and pumps blood. Think of it as the peak pressure. A higher systolic reading could indicate that your heart is working harder to pump blood, or that there's increased stiffness in your arteries.

The Diastolic Number

The diastolic number, the bottom number, measures the pressure in your arteries when your heart muscle is resting between beats and refilling with blood. It's the lowest pressure in your arteries. An elevated diastolic reading might suggest that your blood vessels aren't relaxing properly between heartbeats.

What Blood Pressure Reading Is Out of the Norm?

Generally, a normal blood pressure reading is less than 120 systolic and less than 80 diastolic (120/80 mmHg). However, these are general guidelines, and your ideal blood pressure might be different based on your age, medical history, and other health conditions.

Here's a simplified breakdown of blood pressure categories:

  • Normal: Less than 120 systolic and less than 80 diastolic.
  • Elevated: 120-129 systolic and less than 80 diastolic. This category suggests you're at risk of developing high blood pressure.
  • High Blood Pressure (Hypertension) Stage 1: 130-139 systolic or 80-89 diastolic. Lifestyle changes and medication might be recommended.
  • High Blood Pressure (Hypertension) Stage 2: 140 or higher systolic or 90 or higher diastolic. Medical treatment is usually necessary.
  • Hypertensive Crisis: Higher than 180 systolic and/or higher than 120 diastolic. This requires immediate medical attention.

It's crucial to remember that a single high reading doesn't necessarily mean you have high blood pressure. Factors like stress, anxiety, recent exercise, or even caffeine and certain medication intake can temporarily elevate your blood pressure. That's why providers often take multiple readings over several visits to make an accurate diagnosis.

Understanding your blood pressure numbers is the first step towards managing your cardiovascular health. If you consistently have readings outside the normal range, it's essential to talk to your provider. Regular monitoring and open communication with your healthcare provider are key to maintaining optimal blood pressure and overall well-being!

The information on this site is for informational purposes only and should not replace direct medical advice, diagnosis, or treatment from your doctor or another qualified healthcare provider.

Sources:

“Blood Pressure.” Cleveland Clinic.

“Understanding Blood Pressure Readings.” American Heart Association.

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