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Practice Management Tips

Teenage blood pressure chart

Free PDF 2 pages, print-ready Clinician-reviewed


A teenage blood pressure chart classifies a reading for patients aged 13 to 17 against the AAP 2017 thresholds. Normal is below 120/80 mmHg. Elevated is a systolic of 120 to 129 with a diastolic below 80. Stage 1 hypertension is 130 to 139 systolic or 80 to 89 diastolic, and stage 2 starts at 140/90 mmHg. From age 13 these cutoffs are fixed values for boys and girls alike. The chart therefore reads like an adult chart, not a pediatric percentile table.

Template details
Template type
Chart
Format
Printable PDF, 2 pages
Sections
6 sections
Fields to complete
6 fields
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Practice Management Tips
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Download your free teenage blood pressure chart

A two-page printable form with reference thresholds for normal, stage 1 and stage 2 readings. It also has fields for patient details, risk factors, dated readings, an assessment and physician's notes.

What’s inside
  • Patient details (name, date of birth, gender, ID, contact) and medication use
  • Risk factor checklist: family history of high blood pressure, BMI and diabetes
  • Reference table of normal, stage 1 and stage 2 systolic and diastolic thresholds
  • Reading record with date, time, systolic, diastolic and interpretation fields
  • Assessment checkboxes for further testing and suspected primary or secondary hypertension
  • Physician's notes and recommendations, with signature and date
PDF · 2 pages · 147 KB No sign-up needed Updated October 2026
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Key takeaways

Key takeaways

Teens aged 13 and over are classified with fixed mmHg thresholds under AAP 2017.

Under 13, hypertension is defined by the 95th percentile for age, sex and height.

Normal for adolescents 13+ is below 120/80 mmHg, and stage 2 starts at 140/90 mmHg.

When systolic and diastolic fall in different categories, the higher category applies.

Practice software such as Pabau can store each reading and the patient’s history in one record.

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Normal blood pressure ranges for teenagers

For adolescents aged 13 and over, a normal reading is below 120/80 mmHg. This applies to both boys and girls under AAP 2017 criteria, so the chart does not split categories by sex at this age.

Category (age 13+)Systolic (mmHg)Diastolic (mmHg)
NormalBelow 120Below 80
Elevated120 to 129Below 80
Stage 1 hypertension130 to 13980 to 89
Stage 2 hypertension140 or higher90 or higher

The downloadable PDF lists the normal, stage 1 and stage 2 thresholds but has no separate elevated row. Record a systolic of 120 to 129 with a diastolic below 80 as elevated, using the table above.

How to read a teenage blood pressure chart

Place the systolic and the diastolic value in their own rows, then take the higher of the two categories. The grid below shows how the two values combine.

Grid of AAP 2017 blood pressure categories for teens aged 13 and over
Read across from the systolic value and down from the diastolic value, and the cell gives the category. Thresholds from the AAP 2017 guideline.
  1. Confirm the patient is 13 or older. Under 13, switch to a percentile chart.
  2. Measure systolic and diastolic with an appropriately sized cuff.
  3. Find the row for each value and take the higher category.
  4. Record the category, the readings and the date in the clinical notes.

Hypertension thresholds for teenagers aged 13 and over

From age 13, stage 1 starts at 130/80 mmHg and stage 2 starts at 140/90 mmHg, according to the AAP 2017 guideline. These fixed thresholds match the adult categories on a normal blood pressure chart, so a teen moves into adult care without a change of scale.

Understanding blood pressure ranges in adolescents

A blood pressure range describes the category a reading falls into. It is not a diagnosis on its own, and a single high reading needs confirmation before any label is applied.

Under 13, a reading is placed against percentile bands for age, sex and height instead. Our pediatric blood pressure chart covers those bands for younger children.

Ambulatory blood pressure monitoring (ABPM) is the usual way to confirm suspected hypertension. The teen wears a portable cuff that records readings over 24 hours, usually arranged through a specialist service.

What causes high blood pressure in teenagers?

Most adolescent hypertension is primary, meaning no single cause is found. Obesity is the most common risk factor for primary hypertension in this age group. That is the finding of an American Family Physician review of high blood pressure in children and adolescents.

In teens, obesity means a BMI at or above the 95th percentile for age and sex. Judge the BMI item on any risk factor checklist against that percentile rather than an adult cutoff.

Secondary hypertension is less common in this age group. Renal disease and endocrine disorders are the usual causes, and a suspected secondary cause calls for a fuller workup.

Measurement technique and the white coat effect

Auscultatory (manual) measurement is the reference standard for pediatric blood pressure. Cuff size has the biggest effect on accuracy. The AAP 2017 guideline says the bladder should encircle at least 80% of the arm circumference.

The white coat effect can raise office readings, so one high reading at the practice should not settle the category. Refer for confirmation when readings stay high across visits.

AAP pediatric hypertension guidelines: Key points for clinicians

  • Use fixed mmHg thresholds for adolescents aged 13 and over.
  • Use percentiles for age, sex and height for children under 13.
  • Confirm hypertension with ABPM before starting treatment in most cases.

The chart values come straight from the guideline. Treatment decisions sit with the treating clinician and fall outside this article’s scope.

How to measure blood pressure accurately in teenagers

A poor technique produces a reading that lands in the wrong row, so the method matters as much as the chart. For a step-by-step walkthrough, see our guide to the blood pressure test.

  1. Rest the teenager seated for at least five minutes with the back supported.
  2. Choose a cuff whose bladder covers at least 80% of the arm circumference.
  3. Keep the arm at heart level and the feet flat.
  4. Take two or more readings a few minutes apart and record them.

Putting the chart to work in your practice

Put the chart in the consultation room and make it part of the triage routine. Staff record the age and readings, and the clinician confirms the category before any follow-up is booked.

Document the category, the repeat readings and the planned confirmation step. A clear note stops the next clinician from reclassifying the teen on a single reading.

Pro Tip

Audit your intake forms before printing the chart. Capture age, sex and cuff size on the same form. The team can then classify a reading without searching through the patient’s notes.

How Pabau keeps teen blood pressure readings on record

On paper, each reading lives on a separate sheet, and the next clinician has to find the last one before judging a trend. That search is where a teen gets reclassified on a single high reading.

Pabau runs scheduling, records and forms for private GP practices, and it turns the chart’s fields into a digital form. Its patient intake software captures age, readings and risk factors before the visit.

Each completed form lands in the patient’s Client record, next to earlier readings and consent. Clinicians see the trend at a glance, so a confirmation step gets booked rather than forgotten.

Keep teen readings and records in one place

Pabau’s digital forms and Client records keep blood pressure readings, history and consent together, so the team can find them at the next visit.

Pabau client record

Conclusion

The thresholds for teens are simple, and they are the same for boys and girls from age 13. Misclassification comes from the process around them: the wrong cuff, one reading taken as final, or a note nobody can find at the next visit.

Fix those three points and the chart does its job. Pair it with the PDF at intake, and keep percentile charts for the under-13s.

Book a demo to see how Pabau keeps every teen’s readings and follow-ups in one patient record.

Continue your research

Continue your research

Recording other vital signs too? Pediatric vital signs chart lists normal vital sign ranges by age.

Seeing older patients as well? Senior blood pressure chart covers readings in older adults.

Frequently asked questions

What is a teenage blood pressure chart?

A teenage blood pressure chart is a clinical reference that places a reading in the normal, elevated, stage 1 or stage 2 category. From age 13, it uses fixed mmHg thresholds that are the same for boys and girls.

What is a normal blood pressure for a 13 to 17 year old?

A normal reading for adolescents aged 13 and over is below 120/80 mmHg under AAP 2017 criteria.

What reading is considered high for a 13 year old?

Stage 1 hypertension starts at 130/80 mmHg and stage 2 at 140/90 mmHg for teens aged 13 and over.

At what age do teens use adult blood pressure thresholds?

From age 13, the AAP 2017 guideline uses fixed mmHg thresholds that align closely with adult cutoffs.

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Anja Dodevska
Content Writer

Anja Dodevska writes about healthcare, dermatology, and the day-to-day realities of running a medical practice for Pabau. She enjoys breaking down complex topics into clear, accessible content and has a soft spot for the often-overlooked aspects of clinic life. When she's not writing, she's exploring cafes, walking her dog, or spending time with friends and family.
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