Pressão Arterial 120/84 mmHg: Normal com Diastólica Elevada

120/84 mmHg is classified as Elevated Blood Pressure per ACC/AHA 2017 (systolic 120–129 AND diastolic <80). However, diastolic 84 places it in a gray zone.

Interpretation

• Systolic 120: upper limit of normal.
• Diastolic 84: above optimal (<80), but below Stage 1 threshold (80–89).
• Mean arterial pressure = 96 mmHg — acceptable.

Clinical Context

• Single reading insufficient; average ≥2 readings on ≥2 occasions.
• Home/ambulatory BP preferred (white-coat effect).
• If confirmed: lifestyle intervention (DASH, Na⁺ <1.5g, exercise, weight loss, moderation alcohol).
• Pharmacotherapy not indicated unless CVD, diabetes, CKD, or 10-yr ASCVD risk ≥10%.

Monitoring

Recheck in 3–6 months with lifestyle changes. Annual if controlled.

Not "normal" but not yet hypertensive — a window for prevention.