What reading counts as high?
The Centre for Health Protection is explicit: a systolic pressure persistently at 140 mmHg or above, or a diastolic pressure persistently at 90 mmHg or above, is hypertension.
The word doing the work is “persistently”. One high reading is not a diagnosis: blood pressure varies with activity, mood and time of day, so the judgement rests on repeated measurements interpreted by a doctor.
| Category | Level | What it means |
|---|---|---|
| General target | Systolic below 120, diastolic below 80 | The level the Centre advises adults to maintain |
| Pre-hypertension | Systolic 120 to 139, or diastolic 80 to 89 | Not yet hypertension, but above the advised target |
| Hypertension | Systolic persistently 140 or above, or diastolic 90 or above | Diagnosed by a doctor on repeated measurements |
Why is it called a silent killer?
Because raised blood pressure usually produces no sensation at all. Like diabetes, hypertension is generally found when it is measured rather than because someone feels unwell.
This is exactly why the Government screens residents aged 45 or above who are not known to have either condition: a disease with no symptoms cannot be found by waiting for symptoms, only by measuring. A home monitor, a check-up, or screening under the co-care programme are different routes to the same act.