My blood pressure is 160/100, what should I do?

“My doctor is having me check my blood pressure at home and I just took my first reading. My blood pressure is 160/100, what should I do?”

Dr. Danielle Paiva
Primary care physician CRM 9958-AM

A blood pressure reading of 160/100 mmHg is considered stage 2 high blood pressure (hypertension). If you have no symptoms, sit down, rest for 5 minutes, and check your blood pressure again. If it remains at this level, contact your doctor within 1 to 2 days.

To get an accurate reading, sit in a chair with your back supported, feet flat on the floor, and arm resting at heart level. Stay still and avoid talking during the measurement. Do not drink coffee, smoke, or exercise for at least 30 minutes beforehand. Blood pressure can temporarily increase due to pain, stress, or physical activity and may return to normal once these factors have passed.

Seek emergency medical care immediately if you experience chest pain, shortness of breath, a severe headache, vision changes, back pain, confusion, weakness, numbness, or difficulty speaking. If your blood pressure reaches 180 mmHg systolic and/or 120 mmHg diastolic or higher, even without symptoms, seek medical attention as soon as possible. Learn more about the symptoms of high blood pressure.

If you are pregnant or have recently given birth, a blood pressure reading of 160/100 mmHg requires immediate medical evaluation, as it may be a sign of preeclampsia or another serious pregnancy-related complication.

If you are already taking blood pressure medication, do not adjust your dose or stop taking it without medical advice. Contact your doctor to review your treatment and determine whether any changes are needed. 

When left uncontrolled, high blood pressure can damage the heart, brain, kidneys, and eyes, increasing the risk of heart attack, stroke, heart failure, chronic kidney disease, and dementia. This is why proper monitoring and treatment under a doctor's guidance are essential.

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