A blood pressure reading reflects the force of circulating blood
exerted on the walls of your arteries and serves as a key
indicator of cardiovascular health. It is recorded using two
numbers:
Systolic Pressure (Upper Number) – The pressure in your
arteries when your heart contracts and pumps blood.
Diastolic Pressure (Lower Number) – The pressure in
your arteries when your heart relaxes between beats.
Blood pressure readings help detect and monitor hypertension, a condition
that increases the risk of heart
disease, stroke, and kidney problems. Many
individuals with high blood pressure do not experience symptoms, making
routine screening essential for early detection and timely
intervention.
How Is Blood Pressure Categorised?
Blood pressure is measured in millimetres of mercury (mmHg) and written as systolic
over diastolic, for example, 120/80 mmHg. According to clinical guidelines in
Singapore, blood pressure is classified into the following categories:
Categories
Systolic Blood Pressure (mmHg)
Diastolic Blood Pressure (mmHg)
Normal
< 120
< 80
High-Normal (Borderline)
130 - 139
85 - 89
Hypertension Stage 1
140 - 159
90 - 99
Hypertension Stage 2
≥ 160
≥ 100
What Is Considered a Healthy Blood Pressure by Age?
Healthy blood pressure ranges generally remain consistent across age groups.
However, slightly higher readings, particularly in adults over 65, may be considered
appropriate depending on individual health status, the presence of other medical
conditions, and the effects of treatments such as medication.
Blood pressure typically begins to rise from around age 50 due to natural changes in the cardiovascular
system. As arteries stiffen with age, the heart must pump harder to
circulate blood, leading to higher pressure. Other contributing factors include
reduced kidney function, hormonal shifts, and long-term lifestyle influences.
When Should You Monitor Your Blood Pressure?
You should consider checking or monitoring your blood pressure if you:
You are over 18 years old and have not had a recent health screening.
You have a family history of high blood pressure or cardiovascular
disease.
You experience symptoms such as frequent headaches, dizziness, blurred
vision, or chest discomfort.
If your doctor has advised you to monitor your blood pressure at home, it is
important to follow this guidance as it helps track your treatment progress
and supports informed adjustments if necessary.
Tips for Monitoring Your Blood Pressure at Home
To measure your blood pressure accurately at home, follow these tips:
Use a validated upper-arm digital monitor (one that has been clinically tested
for accuracy).
Measure at the same time each day, ideally in the morning before eating or
taking medication.
Take two to three readings, one minute apart, and record the average.
Sit quietly for at least five minutes before measuring.
Avoid speaking or moving during the reading.
It is important to follow your doctor’s instructions on when and how to measure your
blood pressure at home. This ensures that the readings collected are reliable and
useful for monitoring your health and guiding your treatment plan.
What Can Affect Your Blood Pressure Reading?
Many factors can affect your blood pressure reading, even over a short
period. These include physiological, behavioural, and environmental
influences:
Body Position and Posture – Crossing your legs,
unsupported arms, or slouching may lead to inaccurate results.
Emotional State – Feelings of stress, anxiety, or pain
can cause a temporary increase in blood pressure.
Recent Physical Activity – Exercise or exertion shortly
before measurement can elevate your reading.
Dietary Intake and Substances – Caffeine, alcohol, and
tobacco use can influence blood pressure levels.
Time of Day – Blood pressure follows a daily rhythm and
may vary between morning and evening.
For more accurate and consistent readings, sit quietly for at least five minutes
before measurement, avoid caffeine or smoking for 30 minutes beforehand, and keep
your arm supported at heart level with both feet flat on the floor.
What Should You Do if Your Reading Is High?
If your blood pressure reading is elevated or high, you should:
Repeat the measurement after a few minutes to confirm the result.
Consider recent activities or stressors that may have affected the reading.
Schedule a consultation with your doctor if high readings persist.
Make lifestyle changes such as reducing salt intake, exercising regularly,
limiting alcohol consumption, and managing stress.
In some cases, your doctor may recommend further investigations, medication, or
regular monitoring depending on your overall health and risk factors.
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To read a blood pressure monitor, note the two numbers
displayed: the top number is systolic pressure, and the
bottom number is diastolic pressure. For example, a reading
of 120 over 80 millimetres of mercury (mmHg) means the
systolic pressure is 120 mmHg and the diastolic is 80 mmHg.
Both numbers are important in determining if your blood
pressure falls within a healthy, elevated, or high range.
Blood pressure readings reflect the force of blood against
artery walls and help assess cardiovascular risk. A normal
reading is typically below 120/80 mmHg, though ideal targets
may vary depending on age, health conditions, and treatment
goals. The systolic value measures pressure during
heartbeats, and the diastolic reflects pressure between
beats. Persistent readings above guideline thresholds may
require medical evaluation or treatment.
Irregular blood pressure readings may result from temporary
factors like stress, posture, or recent activity, but
frequent fluctuations can signal underlying health issues.
It is advisable to consult your doctor for personalised
medical guidance on your condition and treatment, especially
if you consistently record readings outside the normal range
or experience related symptoms.
A high diastolic blood pressure reading, typically 90 mmHg
or above, may indicate increased resistance in the arteries
when the heart is at rest. Sustained high diastolic pressure
is associated with a higher risk of cardiovascular disease
and may require medical attention. It is advisable to
consult a doctor for personalised medical guidance on your
condition and if treatment is required.
Yes, using a blood pressure cuff that is too tight or the
wrong size can affect the accuracy of your reading and may
result in falsely elevated values. For reliable results, use
a properly fitted upper-arm cuff positioned at heart level.
If you are unsure, consulting a doctor or trained healthcare
provider can offer proper guidance on measurement technique.
Ideal blood pressure readings for older adults generally
fall below 140/90 mmHg, though targets may vary depending on
individual health conditions, treatment tolerance, and
cardiovascular risk. Slightly higher readings may be
acceptable in those over 65. It is best to consult your
doctor to determine what is appropriate based on your age
and overall health profile.
A dangerously high blood pressure reading is typically
180/120 mmHg or above, which may signal a hypertensive
crisis and requires immediate medical attention. Dangerously
low blood pressure, often defined as below 90/60 mmHg, can
lead to symptoms such as dizziness, fainting, or, in severe
cases, shock. Seek urgent medical attention if your blood
pressure falls within these ranges or is accompanied by
concerning symptoms.
Both systolic and diastolic blood pressure readings are
important indicators of cardiovascular health. Systolic
pressure is more strongly associated with heart disease in
older adults, while elevated diastolic pressure may be more
relevant in younger individuals. It is best to consult your
doctor to determine whether your blood pressure readings are
a cause for concern based on your age and overall health
profile.
In Singapore, a normal blood pressure reading is generally
considered to be below 120/80 mmHg. Readings between 130 to
139 systolic and 85 to 89 diastolic are considered
high-normal, while hypertension is typically diagnosed at
140/90 mmHg or higher, based on consistent readings over
time. If your blood pressure falls within a higher range, it
is advisable to consult your doctor to determine whether
further assessment or treatment is needed.
Normal blood pressure is generally considered to be below
120/80 mmHg, though ideal targets may vary based on medical
conditions, treatment plans, and individual health status.
Slightly higher readings may be acceptable in some cases
depending on clinical judgement. It is best to consult your
doctor to determine what is appropriate for your specific
health profile.
Stroke-level blood pressure typically refers to readings at
or above 180/120 mmHg, especially if accompanied by symptoms
such as severe headache, vision changes, or difficulty
speaking. This may indicate a hypertensive emergency and
requires immediate medical attention.
Blood pressure is usually highest in the late morning and
early afternoon due to natural fluctuations in the body’s
circadian rhythm. It tends to rise shortly after waking,
peak during mid-day, and gradually decline in the evening
and while sleeping. These patterns can vary between
individuals, which is why consistent timing in blood
pressure monitoring is recommended for more precise
comparison.
There is no medically recommended way to lower blood
pressure instantly outside of emergency care, but short-term
strategies like deep breathing, lying down, or avoiding
stimulants may help reduce temporary spikes. For sustained
control, focus on long-term measures such as dietary
changes, regular physical activity, and medication if
prescribed. If your blood pressure is 180/120 mmHg or
higher, seek immediate medical attention as this may
indicate a hypertensive crisis.
Foods high in sodium, particularly processed and packaged
items, are most commonly associated with increased blood
pressure. Excess salt can lead to fluid retention, which
raises blood volume and pressure in the arteries. Reducing
sodium intake is a key part of dietary management for
hypertension. If you are concerned about high blood
pressure, consult your doctor to monitor your readings and
determine whether treatment is needed.
A consistent blood pressure reading of 140/90 mmHg falls
within the range of Stage 1 hypertension and is not
considered normal. While a single elevated reading may not
confirm a diagnosis, persistently high measurements over
time should be evaluated. Consulting a doctor can help
determine whether you require lifestyle changes, ongoing
monitoring, or treatment based on your overall health
profile.
Drinking water may help support normal blood pressure by
maintaining proper hydration and blood volume, but it does
not directly lower high blood pressure in a clinically
significant way. It is best considered part of an overall
healthy lifestyle. It is advisable to consult a doctor for
personalised medical guidance on managing blood pressure or
if you have not had your blood pressure checked recently.
Yes, chronic sleep deprivation can contribute to high blood
pressure by raising stress hormone levels and disrupting the
body’s natural ability to regulate blood pressure. Poor
sleep quality has also been linked to an increased risk of
developing hypertension over time. If you are concerned
about high blood pressure, consult your doctor to monitor
your readings and determine whether treatment, including
lifestyle changes, is needed.