Question: what does it mean when you have stage 2 hypertension?
Answer: Stage 2 hypertension. You have stage 2 hypertension if your systolic pressure is at least 140 mm Hg, your diastolic pressure is at least 90 mm Hg, or both. In addition to lifestyle modifications, you will likely need to start medication to lower your blood pressure. That doesn't mean you will always need drug therapy.