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.
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.
They’re both measured in millimetres of mercury ( mmHg ). As a general guide: high blood pressure is considered to be 140/90mmHg or higher (or 150/90mmHg or higher if you’re over the age of 80) ideal blood pressure is usually considered to be between 90/60mmHg and 120/80mmHg.
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).
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.
According to the American Heart Association, a reading of 130/80 mmHg or higher constitutes high blood pressure ( HBP ), also known as hypertension.
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.
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.
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 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.
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.
Nevertheless, the panel makes these general recommendations for people over age 80 : A target systolic blood pressure (the first or top number in a two-number blood – pressure reading) should be 140 to 145 if the patient tolerates the side effects of treatment.