Blood Pressure 192 Over 76–187: Which Are OK?
With an upper value of 192, the answer depends on your lower number. Here are all readings, sorted by what they mean.
On its own, a systolic (upper) value of 192 mmHg is Hypertension stage 3 by the international categories (2023 ESH guideline) and Severe hypertension under the 2025 AHA/ACC guideline. The worse of your two numbers decides the category, so a raised diastolic (lower) value moves a 192 reading up: every listed reading stays in the same category. Readings below 192/132 have a pulse pressure above 60 mmHg — a wide gap that is common after 60 and worth mentioning to your doctor.
Hypertension stage 3 192/76 to 192/187
- 192/76
- 192/80
- 192/81
- 192/82
- 192/83
- 192/84
- 192/85
- 192/86
- 192/87
- 192/88
- 192/89
- 192/90
- 192/91
- 192/92
- 192/93
- 192/94
- 192/95
- 192/96
- 192/97
- 192/98
- 192/99
- 192/100
- 192/101
- 192/102
- 192/103
- 192/104
- 192/105
- 192/106
- 192/107
- 192/108
- 192/109
- 192/110
- 192/111
- 192/112
- 192/113
- 192/114
- 192/115
- 192/116
- 192/117
- 192/118
- 192/119
- 192/120
- 192/121
- 192/122
- 192/123
- 192/124
- 192/125
- 192/126
- 192/127
- 192/128
- 192/129
- 192/130
- 192/131
- 192/132
- 192/133
- 192/134
- 192/135
- 192/136
- 192/137
- 192/138
- 192/139
- 192/140
- 192/141
- 192/142
- 192/143
- 192/144
- 192/145
- 192/146
- 192/147
- 192/148
- 192/149
- 192/150
- 192/151
- 192/152
- 192/153
- 192/154
- 192/155
- 192/156
- 192/157
- 192/158
- 192/159
- 192/160
- 192/169
- 192/187
What to do with a reading of 192 over …
Sit quietly for 5 minutes and measure again. If it is still 180/110 or higher, contact a doctor the same day — and call 911 (US) or your local emergency number right away if you have 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.