Good for the elderly
The American College of Cardiology (ACC) and the American Heart Association (AHA) updated their guidelines in 2017 to recommend men and women who are 65 or older aim for a blood pressure lower than 130/80 mm Hg.
The ideal blood pressure for seniors is now considered 120/80 (systolic/diastolic), which is the same for younger adults. The high blood pressure range for seniors starts at hypertension stage 1, spanning between 130-139/80-89.
According to the guidelines, the new normal blood pressure for seniors (and everyone else) is less than 120/80. Blood pressure is generally considered too low if it dips below 90/60.
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.
The researchers concluded that, for adults aged 80 years or older, intensively controlling systolic blood pressure to less than 120 mmHg lowers the risk of heart attacks, stroke, death, and mild cognitive impairment, but increases the risk of declines in kidney function.
Clearly, this is a small percentage, but not an insignificant number. 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.
Optimal blood pressure is a reading of lower than 120/80. When your blood pressure numbers are consistently greater than 135/85, you’re considered to have high blood pressure, or hypertension (but if you have diabetes or kidney disease, 130/80 is considered a high reading).
Blood pressure readings above 180/120 mmHg are considered stroke-level, dangerously high and require immediate medical attention.
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.
The normal resting heart rate for adults over the age of 10 years, including older adults, is between 60 and 100 beats per minute (bpm). Highly trained athletes may have a resting heart rate below 60 bpm, sometimes reaching 40 bpm.
Normal — Blood pressure readings of less than 120/80 mm Hg are considered in the normal range. Elevated — Readings consistently ranging from 120–129 systolic and less than 80 mm Hg diastolic are considered elevated.
Normal pressure is 120/80 or lower. Your blood pressure is considered high (stage 1) if it reads 130/80. Stage 2 high blood pressure is 140/90 or higher. If you get a blood pressure reading of 180/110 or higher more than once, seek medical treatment right away.
“As you age, the vascular system changes. This includes your heart and blood vessels. In the blood vessels, there’s a reduction in elastic tissue in your arteries, causing them to become stiffer and less compliant. As a result, your blood pressure increases,” Nakano said.
Your blood pressure should be less than 140/90 (“140 over 90”). If you have diabetes, it should be less than 130/80 (“130 over 80”). If you are 80 years and older, it should be less than 150/90 (“150 over 90”). In general, the lower your blood pressure, the better.
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