Hypertension, with a systolic blood pressure of 200, is more serious. The diagnostic criteria for hypertension is a blood pressure of more than 140/90 mm Hg measured in the upper extremities in a quiet state. There are two occasions when such a criterion is reached, and we consider this to be a patient with hypertension. Hypertension is graded according to the level of systolic blood pressure, which is what you call high pressure. 140-160 belongs to first-degree hypertension, 160-180 belongs to second-degree hypertension, and 180 or more belongs to third-degree hypertension. 200 or more systolic blood pressure belongs to third-degree hypertension, which is more serious and prone to heart failure, cerebral hemorrhage and other cardiovascular and cerebrovascular accidents. You need to go to the cardiology department of a public hospital as soon as possible.