Att_17 Clinic Exam Blood Pressure Results Form

Blood Pressure Results
Name: _____________
Date: __________
Results
First Reading:

Systolic _______ mm Hg

Diastolic ______ mm Hg

Second Reading:

Systolic _______ mm Hg

Diastolic ______ mm Hg

Third Reading:

Systolic _______ mm Hg

Diastolic ______ mm Hg

Average Value*

Systolic _______ mm Hg

Diastolic ______ mm Hg

*average of second and third reading

What do blood pressure numbers indicate?
Blood pressure (BP) is written as two numbers. Systolic BP, usually written as the first or top of two
numbers, represents the pressure while your heart is beating. Diastolic BP, usually written as the second
or bottom of two numbers, represents the pressure when your heart is resting between beats. Optimal
adult blood pressure is systolic pressure of 120 mm of mercury (also known as Hg) or lower AND diastolic
pressure of 80 mm Hg or lower. Blood pressure that is extremely high could indicate a serious medical
condition and should be evaluated by a health professional immediately. Lowering blood pressure is
important for reducing the risk of cardiovascular disease.

Interpretation and Advice


Your blood pressure
readings are (mm Hg)
Systolic BP ≥ 180 OR
Diastolic BP ≥ 110

This is
considered
Extremely High*

You are advised to
Seek care as soon as possible as this is a
potential emergency health condition.
Emergency Care Needed.

Systolic BP 160 to 179 OR
Diastolic BP 100 to 109

Very High

See a health care provider within the next
month to have your blood pressure rechecked
and managed.

Systolic BP 140 to 159 OR
Diastolic BP 90 to 99

Mildly to
Moderately High

See a health care provider within the next two
months to have your blood pressure rechecked
and managed.

Systolic BP 120 to 139 OR
Diastolic BP 80 to 89

Slightly High

Systolic BP <120 OR
Diastolic BP <80

Normal

Find out from a health care provider if any
additional evaluations or lifestyle changes are
indicated.
Your Blood Pressure is within normal limits. Talk
to a health care provider about healthy lifestyle
choices that you can take to prevent high blood
pressure.

* A hypertensive crisis exists when blood pressure reaches levels of 180 or higher for the systolic (top)
number OR 110 or higher for the diastolic (bottom) number. There is no safe duration for blood pressure to
remain in this range.

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U.S. Department of Health and Human Services  National Institutes of Health  National Institute of Environmental Health Sciences