A blood pressure of 107/59 is generally a good reading. Your systolic number (107) falls well within the normal range of below 120 mm Hg, and your overall reading is far from hypertension territory. The one nuance worth understanding is your diastolic number (59), which sits just below a threshold some researchers flag as worth watching.
Where 107/59 Falls on the Chart
The 2025 guidelines from the American Heart Association and American College of Cardiology define four blood pressure categories for adults:
- Normal: below 120/80 mm Hg
- Elevated: 120 to 129 systolic with diastolic below 80
- Stage 1 hypertension: 130 to 139 systolic or 80 to 89 diastolic
- Stage 2 hypertension: 140+ systolic or 90+ diastolic
By these standards, 107/59 is classified as normal. Your systolic pressure of 107 is comfortably below the 120 cutoff, meaning your heart isn’t pushing blood against excessive resistance. You’re nowhere near elevated or hypertensive ranges, which is the main thing most people checking their blood pressure want to confirm.
Why the Diastolic Number Deserves a Second Look
Low blood pressure is formally defined as anything below 90/60 mm Hg, and your reading of 107/59 doesn’t meet that threshold overall. But your diastolic number (the bottom number, which reflects the pressure in your arteries between heartbeats) is 59, which falls just under 60.
Researchers use the term “isolated diastolic hypotension” for readings where the diastolic drops below 60 while the systolic stays at 100 or above. A study published in the AHA’s journal Hypertension followed older adults with this pattern for over 12 years and found they had a roughly 30% higher risk of developing heart failure compared to matched participants without low diastolic readings. The likely mechanism involves stiffening of the aorta with age, which pushes systolic pressure up and diastolic pressure down, increasing strain on the heart over time.
That said, context matters enormously here. This finding was most relevant in older adults whose arteries had already lost flexibility. In younger, healthy people, a diastolic reading of 59 is often just a sign of good cardiovascular fitness or natural variation. Athletes frequently have lower blood pressure across the board. If your reading has been in this range for years and you feel fine, there’s little reason for concern.
Symptoms That Separate “Fine” From “Too Low”
The practical test for whether your blood pressure is too low isn’t really the number itself. Most healthcare professionals consider blood pressure problematic only when it causes symptoms. Many people walk around with readings in the low range their entire lives without ever noticing.
Symptoms of blood pressure that’s genuinely too low include dizziness or lightheadedness, blurred or fading vision, fainting, unusual fatigue, trouble concentrating, and nausea. If you experience any of these regularly, especially when standing up quickly, your reading deserves a closer look even though it doesn’t technically meet the 90/60 definition of hypotension.
A sudden drop is more dangerous than a consistently low number. A shift of just 20 mm Hg can cause dizziness or fainting, even if the resulting number would look “normal” on paper. So if your blood pressure is usually higher and suddenly reads 107/59, pay attention to how you feel. If it’s always been around this level, your body is adapted to it.
What Can Push Blood Pressure This Low
In otherwise healthy people, several everyday factors keep blood pressure on the lower side. Regular exercise, particularly endurance training, strengthens the heart so it pumps more efficiently at lower pressure. Genetics play a role too. Some people simply run lower than the population average.
Dehydration, skipping meals, hot weather, and standing up too quickly can all temporarily drop your numbers. Certain medications, especially those for high blood pressure, depression, or heart conditions, can also bring readings down. If you’ve recently started or adjusted a medication and your diastolic has dipped below 60, that’s worth mentioning at your next appointment.
What This Reading Means for You
If you’re a younger adult who feels perfectly fine, 107/59 is a healthy reading. Your systolic number is well within the optimal zone, and your diastolic number, while slightly below 60, is unlikely to cause problems in someone without underlying cardiovascular issues. Many people with this blood pressure profile have a lower lifetime risk of heart disease and stroke compared to those with higher readings.
If you’re over 65, a diastolic number consistently below 60 is worth discussing with your doctor, particularly because of the association with increased heart failure risk in older populations. The same goes if you’re experiencing any of the symptoms listed above, regardless of age. A single reading also isn’t the full picture. Blood pressure fluctuates throughout the day, so tracking it over several days at the same time gives a much more reliable snapshot than any one measurement.