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What Does a Blood Pressure Reading of 146 Signify?

Published in Blood Pressure 2 mins read

A blood pressure reading of 146, typically referring to the systolic blood pressure, indicates Stage 2 high blood pressure, also known as hypertension. This level suggests a significant elevation that requires attention.

Understanding Blood Pressure Readings

Blood pressure is measured in millimeters of mercury (mmHg) and is typically presented as two numbers:

  • Systolic Pressure (the top number): This measures the pressure in your arteries when your heart beats.
  • Diastolic Pressure (the bottom number): This measures the pressure in your arteries when your heart rests between beats.

When you see a single number like "146 BP," it almost always refers to the systolic pressure. If your reading was, for example, 146/85, then 146 is the systolic pressure and 85 is the diastolic pressure.

What 146 mmHg Means for Your Health

Based on medical guidelines, a systolic blood pressure of 146 mmHg falls into the category of Stage 2 hypertension.

Blood Pressure Categories:

Understanding where your blood pressure falls is crucial for managing your health. Here’s a general breakdown of blood pressure categories:

Blood Pressure Category Systolic (top number) mmHg Diastolic (bottom number) mmHg
Normal Less than 120 and Less than 80
Elevated 120-129 and Less than 80
High Blood Pressure (Hypertension) Stage 1 130-139 or 80-89
High Blood Pressure (Hypertension) Stage 2 140 or higher or 90 or higher
Hypertensive Crisis Higher than 180 and/or Higher than 120

As you can see, a systolic reading of 146 mmHg places you firmly in the Stage 2 high blood pressure category.

Why High Blood Pressure is a Concern

Often called "the silent killer," high blood pressure typically has no warning signs or symptoms, making regular monitoring essential. Persistent high blood pressure can lead to serious health problems, including:

  • Heart attack
  • Stroke
  • Kidney disease
  • Vision loss
  • Heart failure

If your blood pressure consistently reads 146 mmHg (systolic) or higher, or if your diastolic pressure is 90 mmHg or higher, it is important to consult a healthcare professional. They can provide a proper diagnosis and discuss appropriate management strategies, which might include lifestyle changes or medication. For readings of 180/120 mmHg or higher, seeking medical attention right away is critical.

For more detailed information on blood pressure and hypertension, consider visiting reputable health resources such as the American Heart Association or the Centers for Disease Control and Prevention.