The new guidelines change nothing if you’re younger than 60. But if you’re 60 or older, the target has moved up: Your goal is to keep your blood pressure at 150/90 or lower. If you have kidney disease or diabetes , your target used to be 130/80 or lower; now it’s 140/90 or lower.
When treating hypertension in patients over the age of 85 years, the usual target blood pressure is 150/80 mmHg for reduction of the risk of stroke, heart attack , and other cardiovascular events.
Elderly Blood Pressure Range for Men and Women
|Blood Pressure Category for Adults 65+||Systolic mm Hg||Diastolic mm Hg|
|Normal blood pressure||Lower than 120||Lower than 80|
|Elevated blood pressure||120 – 129||Lower than 80|
|High blood pressure stage 1||130 – 139||80 – 89|
|High blood pressure stage 2||140 or higher||90 or higher|
High blood pressure is now generally defined as 130 or higher for the first number, or 80 or higher for the second number (previously it was 140/90).
A hypertensive crisis is a severe increase in blood pressure that can lead to a stroke. Extremely high blood pressure — a top number (systolic pressure) of 180 millimeters of mercury (mm Hg) or higher or a bottom number (diastolic pressure) of 120 mm Hg or higher — can damage blood vessels.
A new definition of high blood pressure (hypertension) The guidelines, in a nutshell, state that normal blood pressure is under 120/80, whereas before normal was under 140/90. Now, elevated blood pressure (without a diagnosis of hypertension) is systolic blood pressure (the top number) between 120 and 129.
In severe cases, low blood pressure can be life-threatening. A blood pressure reading lower than 90 millimeters of mercury (mm Hg) for the top number (systolic) or 60 mm Hg for the bottom number (diastolic) is generally considered low blood pressure .
High blood pressure can be: just a high systolic pressure , for example, 170 / 70 mmHg. just a high diastolic pressure , for example, 130/104 mmHg. ● or both, for example, 170 /110 mmHg.
The report published in JAMA said healthcare providers should take a new approach to treating high blood pressure for people 60 and older . The panel advised treatment at 140/90 for adults from ages 30 to 59, but starting only at 150/90 for people 60 and older .
Angiotensin Receptor Blockers ARBs are considered the alternative first-line treatment for hypertension in the elderly population when a diuretic is contraindicated. In elderly hypertensive patients with diabetes or HF, ARBs are considered first-line treatment and an alternative to ACE inhibitors .
The previous guidelines set the threshold at 140/90 mm Hg for people younger than age 65 and 150/80 mm Hg for those ages 65 and older. This means 70% to 79% of men ages 55 and older are now classified as having hypertension. That includes many men whose blood pressure had previously been considered healthy.
However, most studies show a greater risk of stroke and heart disease related to higher systolic pressures compared with elevated diastolic pressures. That’s especially true in people ages 50 and older, which is why doctors tend to monitor the top number more closely.
Research has indicated that blood vessels naturally ‘harden’ with age, losing their elasticity. This may be one explanation for why older people are more at risk of developing high blood pressure .
Normal pressure is 120/80 or lower. Your blood pressure is considered high (stage 1) if it reads 140/90. Stage 2 high blood pressure is 160/ 100 or higher. If you get a blood pressure reading of 180/110 or higher more than once, seek medical treatment right away.