At or above 140/90? Yes
standard-threshold-metNo one has reached this rule yetStart medication
No clinician has signed off this rule yet. It reflects our reading of the guidelines cited below, which has not been independently checked.
Word for word, as generated for the example person below. Figures in the text are theirs.
Starting antihypertensive medication is recommended, alongside lifestyle measures.
Expert guidelinesOfficial guidelines recommend it, based on trials plus expert judgment.
Your reading (146/92 mmHg) is at or above the general drug-therapy threshold of 140/90 mmHg.
ACC/AHA (US)
Graded for all adults with hypertension at a systolic pressure of 140 or higher, or a diastolic pressure of 90 or higher.
2025 AHA/ACC Guideline for the Prevention, Detection, Evaluation and… · Recommendation behind this rule · class and level read from the guideline tables on 2026-09-30
2025 AHA/ACC Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults · Class 1 · Level A
Before acting on this: one reading isn't a diagnosis. Check it at home, twice a day for a week, and bring the average.
Expert guidelinesOfficial guidelines recommend it, based on trials plus expert judgment.
Blood pressure is diagnosed on an average of several readings across separate occasions, not a single number. Technique matters more than people expect: sit with your back supported and feet flat for five minutes first, arm resting at heart height, cuff on bare skin and correctly sized, no talking, no coffee or exercise in the prior 30 minutes. Take two readings a minute apart, morning and evening. Roughly 1 in 5 people who look hypertensive in a clinic are normal at home (white-coat), and some people with normal clinic readings are high at home (masked) — both change the decision.
ACC/AHA (US)
Graded as out-of-office monitoring (ambulatory or home) to confirm a diagnosis of hypertension.
2025 AHA/ACC Guideline for the Prevention, Detection, Evaluation and… · Recommendation behind this rule · class and level read from the guideline tables on 2026-09-30
Standardized methods for in-office measurement
2025 AHA/ACC Guideline for the Prevention, Detection, Evaluation and… · Graded separately within the same recommendation · class and level read from the guideline tables on 2026-09-30
Out-of-office monitoring to exclude white-coat effect when office pressure is 130/80 or higher
2025 AHA/ACC Guideline for the Prevention, Detection, Evaluation and… · Graded separately within the same recommendation · class and level read from the guideline tables on 2026-09-30
2025 AHA/ACC Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults · Class 1 · Level A
Promising, but not in the guidelines yet.
The <130/80 universal target itself was the frontier position a few years ago. It is now current guideline, not a step ahead of it.
Expert guidelinesOfficial guidelines recommend it, based on trials plus expert judgment.
The <130/80 universal target and the lower drug-initiation threshold for higher-risk groups were themselves the 'frontier' position as recently as a few years ago; they are now current guideline.
“Stage 2 blood pressure, lower-risk” — an illustrative profile, not a real user.
Asked after: Standard-risk group for blood pressure
Cited by the recommendations above.
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Runs in lib/engine/bpPathway.ts as standard-threshold-met.