AHA 2017 Blood Pressure Categories and Thresholds
The American Heart Association updated its blood pressure guidelines in 2017, lowering the threshold for hypertension from 140/90 to 130/80 mmHg. Under the current framework, Normal blood pressure is below 120/80 mmHg. Elevated is systolic 120-129 with diastolic below 80 — a warning stage requiring lifestyle changes. Hypertension Stage 1 is systolic 130-139 or diastolic 80-89, where doctors consider medication if cardiovascular risk factors are present. Hypertension Stage 2 is systolic 140+ or diastolic 90+, typically requiring medication plus lifestyle modification. Hypertensive Crisis (systolic over 180 or diastolic over 120) demands immediate medical attention. When systolic and diastolic readings fall into different categories, the higher category applies. For example, a reading of 138/78 is Stage 1 hypertension based on the systolic value alone. These thresholds are based on large-scale studies showing that cardiovascular risk begins rising continuously above 115/75 mmHg.