Understanding Blood Pressure Numbers
Blood pressure is measured in millimeters of mercury (mmHg) and expressed as two numbers: systolic / diastolic. Both numbers matter, and the higher one determines your category.
Systolic vs. Diastolic Pressure
Systolic pressure (top number) is the force your heart exerts on vessel walls when beating. Diastolic (bottom number) is the pressure when your heart relaxes between beats. Isolated systolic hypertension (high systolic, normal diastolic) is common in older adults and carries significant cardiovascular risk.
Mean Arterial Pressure (MAP)
MAP represents average pressure throughout the cardiac cycle. Normal MAP: 70–110 mmHg. Organs require MAP ≥ 60 mmHg for adequate perfusion. MAP < 60 mmHg is a medical emergency (shock). Formula: MAP = (2 × Diastolic + Systolic) ÷ 3.
Pulse Pressure
Pulse pressure = Systolic − Diastolic. Normal range: 30–40 mmHg. Wide pulse pressure (>60 mmHg) suggests arterial stiffness and increased cardiovascular risk. Narrow pulse pressure (<25 mmHg) may indicate reduced cardiac output.