Blood Pressure Guide

What should I know about NHS Blood Pressure Categories?

Optimal: below 120/80 mmHg. Normal: 120-129 / 80-84 mmHg. High normal: 130-139 / 85-89 mmHg. High blood pressure (hypertension) Stage 1: 140-159 / 90-99 mmHg. Stage 2: 160-179 / 100-109 mmHg. Stage 3 / Severe: 180+/110+ mmHg. Hypotension (low BP): below 90/60 mmHg — may cause dizziness. Isolated systolic hypertension: systolic ≥ 140, diastolic < 90 — common in older adults. Note: a single high reading is not a diagnosis of hypertension. Readings vary throughout the day. Diagnosis requires repeated readings over time, or 24-hour ambulatory monitoring, rather than a single measurement, since blood pressure naturally fluctuates.

Why Blood Pressure Matters?

High blood pressure (hypertension) is the leading preventable cause of: stroke (1.5× risk at 140 vs 120 mmHg). Heart attack and coronary artery disease. Heart failure. Kidney disease. Vascular dementia. Risk doubles for every 20/10 mmHg increase above 115/75 mmHg. Hypertension is often asymptomatic — 'the silent killer.' In the UK: approximately 1 in 4 adults has high blood pressure. Only half are diagnosed. Of those diagnosed, fewer than half are treated to target. Home monitoring: recommended for anyone diagnosed with or at risk of high blood pressure, since it gives a more representative picture than occasional GP readings alone.

What should I know about Lifestyle Changes?

Evidence-based lifestyle interventions for reducing blood pressure: DASH diet: a dietary pattern rich in fruits, vegetables, whole grains, and low-fat dairy, low in saturated fat and sodium. Reduces systolic BP by 8-14 mmHg on average. Salt reduction: reducing daily sodium to under 2.4g (6g salt) reduces systolic by 2-8 mmHg. UK average intake: approximately 8.4g/day — significantly above recommended levels. Exercise: 150+ minutes moderate aerobic activity per week reduces systolic by 4-9 mmHg.

What's the key thing to understand about Measuring Accurately?

To get an accurate blood pressure reading: sit quietly for 5 minutes before measuring. Arm at heart level, uncrossed legs, back supported. Use validated monitor (BHS approved list). Cuff must fit correctly — too small gives falsely high readings. Take 2-3 readings, 1-2 minutes apart, and average. First reading is often highest — discard it. Do not smoke, exercise, or have caffeine within 30 minutes. Morning readings: before medication, after emptying bladder, before breakfast. Evening readings: before dinner and any evening medication, ideally at a similar time each day for consistency.

Not medical advice. This calculator is for general information and education only. Figures are estimates and may not reflect your circumstances. For decisions, consult your GP or a qualified healthcare professional. See our editorial standards.

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