High blood pressure up to 200 generally means systolic blood pressure up to 200mmHg, and there may be symptoms of the nervous system, heart, kidneys and so on. 1. Neurological symptoms: Blood pressure up to 200 mmHg may have neurological abnormalities, such as vision changes, dizziness, headache, mental status changes, difficulty swallowing, sensory loss or sensory abnormalities. 2. Cardiac symptoms: Blood pressure as high as 200mmHg may also have cardiac abnormalities, such as chest pain, shortness of breath, telangiectasia, paroxysmal nocturnal dyspnea, palpitations, edema, etc. 3. Kidney damage: Blood pressure as high as 200mmHg may have changes in urine output, such as oliguria or polyuria, suggesting kidney damage. If there is any discomfort, it is recommended to go to the hospital in time, and be treated by the doctor after clear diagnosis to avoid delaying the condition.