Normal Blood Pressure Ranges for Newborns, Infants, and Toddlers

Blood pressure norms in children vary significantly by age, size, and sex. The values below are approximate systolic/diastolic ranges (mmHg) for healthy children at the 50th percentile height. Always interpret in clinical context.

Reference Ranges (Systolic/Diastolic)

Age GroupSystolic RangeDiastolic Range
Newborns (0–28 days)60–9030–60
Infants (1–12 months)70–10040–70
Toddlers (1–3 years)80–11050–80

Important Notes

  • These are screening thresholds, not diagnostic cutoffs.
  • BP should be measured with appropriate cuff size (bladder width ≥40% arm circumference, length 80–100%).
  • Values >90th percentile for age/sex/height = elevated; >95th = hypertension.
  • Always confirm elevated readings on ≥3 separate occasions.
  • Oscillometric devices are common but auscultation is gold standard for diagnosis.

When to Refer

  • Persistent BP ≥95th percentile.
  • Symptomatic hypotension (syncope, dizziness) with systolic <5th percentile.
  • Secondary causes suspected (renal, endocrine, cardiac, coarctation).

Use validated pediatric BP tables (e.g., AAP 2017 Clinical Practice Guideline) for precise percentiles based on age, sex, and height percentile.

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