Systolic vs diastolic: what the two numbers mean
A blood pressure reading contains two pressure measurements. Systolic is the upper number, measured as the heart contracts; diastolic is the lower number, measured between beats.
Read the guideThe pulse displayed by a blood pressure monitor describes heart rate, not a third blood pressure value. Its usual unit is beats per minute, while pressure is recorded in mm Hg.
Save the pulse if it was measured and you want it in your record. If it is missing or the device reports an error, do not invent a value. Check your monitor's instructions for the meaning of symbols or irregular-heartbeat indicators.
Heart rate and blood pressure can change differently. A familiar pulse does not establish that a blood pressure reading is harmless, and a monitor's pulse display is not a diagnosis of a heart rhythm disorder.
For example, note whether the measurement followed activity or whether you felt unwell. If an unusual pulse persists, or you have symptoms, seek advice appropriate to the situation rather than interpreting the number in isolation.
A common mistake is entering pulse into the diastolic field because the device presents several numbers close together.
A monitor may show SYS, DIA and PUL or another label for pulse. Check its instructions rather than assuming every device arranges the numbers in the same way. Error messages and rhythm symbols can also differ by manufacturer. If a photograph is used to enter the result, compare each recognized field against the original display.
A pulse number describes a rate at the time of that measurement. It does not show the rhythm in the same detail as an electrocardiogram, and an irregularity symbol is not a confirmed rhythm diagnosis. If the device repeatedly displays a warning, ask how to investigate it and whether the measuring method is suitable for you.
Before saving a result, check:
Which field is systolic and which is diastolic?
Is the third number a measured pulse, or is the device showing an error or symbol?
Did a symptom occur at that time, or at a different time?
Is the value copied accurately from the screen?
A useful note is: “Pulse measured at __; activity/rest beforehand: __; device symbol, if any: __.” Do not fill a missing pulse from memory or treat a later value as the pulse during an earlier episode.
Read the guidance and research behind this article.
Updated 2026-11-12