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Blood pressure categories explained (2017 ACC/AHA)

The 2017 American College of Cardiology / American Heart Association (ACC/AHA) guideline groups adult blood pressure into Normal (under 120/80), Elevated (systolic 120–129 and diastolic under 80), Stage 1 hypertension (systolic 130–139 or diastolic 80–89) and Stage 2 hypertension (140 or higher, or 90 or higher). Readings over 180 and/or over 120 are a hypertensive crisis. When the two numbers fall into different categories, the higher category applies.

2017 ACC/AHA blood pressure categories (adults)

CategorySystolic (top number)Diastolic (bottom number)
NormalLess than 120andLess than 80
Elevated120–129andLess than 80
Stage 1 hypertension130–139or80–89
Stage 2 hypertension140 or higheror90 or higher
Hypertensive crisisHigher than 180and/orHigher than 120

How to read the chart

Categories are based on averages, not a single reading. The 2017 guideline bases them on the average of two or more readings taken on two or more occasions, and recommends home readings to confirm office numbers. Guidelines in other countries may use different cut-offs; for example, European guidelines define hypertension as 140/90 or higher.

If a reading is over 180/120, rest a few minutes and measure again. If it is still that high and you have chest pain, shortness of breath, numbness or weakness, difficulty speaking, vision changes or a severe headache, call emergency services (911 in the US) right away. Even without symptoms, contact your doctor promptly.

How Cuffday labels your readings

Cuffday labels each reading Normal, Elevated, Stage 1, Stage 2 or Crisis using these 2017 ACC/AHA categories, with color and text, and shows your 7-, 30- and 90-day averages as numbers. The labels are for reference only and are not a diagnosis.

This guide is general information, not a diagnosis or treatment plan. Talk to your doctor about your blood pressure goals and medication.

See which category your average falls in

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