Blood pressure 180mmHg generally refers to a systolic blood pressure of 180mmHg. Survival time needs to be determined by the presence or absence of other underlying diseases. Normal adults have a stable blood pressure range in the quiet state, with a normal systolic pressure of 90-139 mmHg and a diastolic pressure of 60-89 mmHg. High blood pressure itself does not have much impact on the human body and the duration of life, but high blood pressure can induce a variety of cardiovascular emergencies, such as myocardial infarction, coronary artery disease, cerebral infarction, etc., and there is a risk of sudden death. In addition, if combined with smoking, family history of cardiovascular disease, hyperlipidemia, diabetes and other conditions, the risk of acute cardiovascular and cerebrovascular accidents will also be significantly higher. Therefore, when the systolic blood pressure is 180 mmHg, if it is not combined with other diseases and if the antihypertensive drugs are used reasonably according to medical advice, there is basically no effect on the survival period of a person. When the blood pressure is at 180mmHg, the patient should promptly visit the cardiology department of the hospital to see whether it is primary or secondary, and should actively control the blood pressure, improve bad habits, ensure sufficient sleep time, quit smoking and limit alcohol, strengthen low salt and low fat diet, and choose blood pressure control drugs for blood pressure treatment under the guidance of the doctor.