Blood Pressure: Reading Your Numbers and Converting Units
Blood pressure is measured as two numbers: systolic (peak pressure when the heart beats) over diastolic (pressure between beats), expressed as mmHg. In some clinical contexts and research, kilopascals (kPa) are used instead.
Unit Conversion
mmHg to kPa: value × 0.133322
kPa to mmHg: value × 7.50062
Example: 120/80 mmHg = 16.0/10.7 kPa
Blood Pressure Categories (AHA/ACC 2017)
- Normal: <120 systolic AND <80 diastolic
- Elevated: 120–129 systolic AND <80 diastolic
- Stage 1 Hypertension: 130–139 OR 80–89 diastolic
- Stage 2 Hypertension: ≥140 OR ≥90 diastolic
- Hypertensive crisis: >180 systolic AND/OR >120 diastolic
- Hypotension (low BP): <90/60
Factors That Affect Readings
Blood pressure varies throughout the day — highest in the morning, lower in the evening. Coffee, exercise, stress, and a full bladder can all elevate readings by 5–10 mmHg. Always rest for 5 minutes before measuring and take two readings 1–2 minutes apart.
White Coat Hypertension
Up to 20% of patients show elevated BP only in clinical settings. Home monitoring over several days gives a more accurate baseline.
Convert blood pressure units: Free Blood Pressure Converter