Blood Pressure 164 Over 60–160: Which Are OK?
With an upper value of 164, the answer depends on your lower number. Here are all readings, sorted by what they mean.
On its own, a systolic (upper) value of 164 mmHg is Hypertension stage 2 by the international categories (2023 ESH guideline) and Stage 2 hypertension under the 2025 AHA/ACC guideline. The worse of your two numbers decides the category, so a raised diastolic (lower) value moves a 164 reading up: from 164/110 it counts as stage 3. Readings below 164/104 have a pulse pressure above 60 mmHg — a wide gap that is common after 60 and worth mentioning to your doctor.
Hypertension stage 2 164/60 to 164/109
- 164/60
- 164/61
- 164/62
- 164/63
- 164/64
- 164/65
- 164/66
- 164/67
- 164/68
- 164/69
- 164/70
- 164/71
- 164/72
- 164/73
- 164/74
- 164/75
- 164/76
- 164/77
- 164/78
- 164/79
- 164/80
- 164/81
- 164/82
- 164/83
- 164/84
- 164/85
- 164/86
- 164/87
- 164/88
- 164/89
- 164/90
- 164/91
- 164/92
- 164/93
- 164/94
- 164/95
- 164/96
- 164/97
- 164/98
- 164/99
- 164/100
- 164/101
- 164/102
- 164/103
- 164/104
- 164/105
- 164/106
- 164/107
- 164/108
- 164/109
Hypertension stage 3 164/110 to 164/160
- 164/110
- 164/111
- 164/112
- 164/113
- 164/114
- 164/115
- 164/116
- 164/117
- 164/118
- 164/119
- 164/120
- 164/121
- 164/122
- 164/123
- 164/124
- 164/125
- 164/126
- 164/127
- 164/128
- 164/129
- 164/130
- 164/131
- 164/132
- 164/133
- 164/134
- 164/135
- 164/136
- 164/137
- 164/138
- 164/139
- 164/140
- 164/141
- 164/142
- 164/143
- 164/144
- 164/145
- 164/146
- 164/147
- 164/148
- 164/149
- 164/150
- 164/151
- 164/152
- 164/153
- 164/154
- 164/155
- 164/156
- 164/157
- 164/158
- 164/159
- 164/160
What to do with a reading of 164 over …
Measure at home for 7 days, morning and evening, and take the average to your doctor. A home average of 135/85 or more confirms high blood pressure. From 164/110 the lower number makes it stage 3: sit quietly for 5 minutes and measure again; if it stays at 110 or higher, contact a doctor the same day, and call 911 (US) or your local emergency number with chest pain, shortness of breath, back pain, numbness or weakness, vision or speech problems, confusion or a severe headache. Keep your readings in a free blood pressure log and read how to measure correctly.
Sources: ESH 2023 guideline · AHA/ACC 2025 guideline.