Blood Pressure 219 Over 80–160: Which Are OK?
With an upper value of 219, the answer depends on your lower number. Here are all readings, sorted by what they mean.
On its own, a systolic (upper) value of 219 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 219 reading up: every listed reading stays in the same category. Readings below 219/159 have a pulse pressure above 60 mmHg — a wide gap that is common after 60 and worth mentioning to your doctor.
Hypertension stage 3 219/80 to 219/160
- 219/80
- 219/81
- 219/82
- 219/83
- 219/84
- 219/85
- 219/86
- 219/87
- 219/88
- 219/89
- 219/90
- 219/91
- 219/92
- 219/93
- 219/94
- 219/95
- 219/96
- 219/97
- 219/98
- 219/99
- 219/100
- 219/101
- 219/102
- 219/103
- 219/104
- 219/105
- 219/106
- 219/107
- 219/108
- 219/109
- 219/110
- 219/111
- 219/112
- 219/113
- 219/114
- 219/115
- 219/116
- 219/117
- 219/118
- 219/119
- 219/120
- 219/121
- 219/122
- 219/123
- 219/124
- 219/125
- 219/126
- 219/127
- 219/128
- 219/129
- 219/130
- 219/131
- 219/132
- 219/133
- 219/134
- 219/135
- 219/136
- 219/137
- 219/138
- 219/139
- 219/140
- 219/141
- 219/142
- 219/143
- 219/144
- 219/145
- 219/146
- 219/147
- 219/148
- 219/149
- 219/150
- 219/151
- 219/152
- 219/153
- 219/154
- 219/155
- 219/156
- 219/157
- 219/158
- 219/159
- 219/160
What to do with a reading of 219 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.