Blood Pressure Category for 116/82 mm Hg
A blood pressure (BP) of 116/82 mm Hg is not normal by the 2017 ACC/AHA office BP categories because the diastolic BP 82 mm Hg falls in the stage 1 hypertension range (DBP 80–89 mm Hg). [1]
By the 2018 ESC/ESH office BP categories, 116/82 mm Hg falls in the Normal category because diastolic BP 80–84 mm Hg is classified as Normal. [2]
2017 ACC/AHA Classification
Under the 2017 ACC/AHA guideline BP categories for adults, Normal BP is defined as SBP <120 mm Hg and DBP <80 mm Hg. [1]
Under the 2017 ACC/AHA guideline, stage 1 hypertension includes DBP 80–89 mm Hg (or SBP 130–139 mm Hg). [1]
2018 ESC/ESH Classification
Under the 2018 ESC/ESH guideline table, Optimal BP is defined as SBP <120 mm Hg and DBP <80 mm Hg. [2]
Under the 2018 ESC/ESH guideline table, Normal BP includes SBP 120–129 mm Hg and/or DBP 80–84 mm Hg. [2]
Confirmation of Elevated or Hypertensive Readings
BP categories based on an office reading should be based on appropriate measurement technique and repeat measurements, since guideline BP thresholds and treatment decisions are tied to average BP on multiple occasions. [1]
Practical Clinical Implication for This Specific Reading
A single recorded 116/82 mm Hg reading corresponds to stage 1 hypertension by ACC/AHA classification because DBP 82 mm Hg is in the 80–89 mm Hg range. [1]
The same reading corresponds to Normal by ESC/ESH classification because DBP 80–84 mm Hg meets the ESC/ESH Normal definition. [2]