New normal blood pressure for seniors
The "new normal" blood pressure guidelines for seniors were updated in 2017 by the American College of Cardiology (ACC) and the American Heart Association (AHA). The new guidelines recommend the following blood pressure categories for adults aged 65 and older:
Normal Blood Pressure:
- Systolic blood pressure (SBP): Less than 120 mmHg
- Diastolic blood pressure (DBP): Less than 80 mmHg
Elevated Blood Pressure:
- SBP: 120-129 mmHg
- DBP: Less than 80 mmHg
Stage 1 Hypertension:
- SBP: 130-139 mmHg
- DBP: 80-89 mmHg
Stage 2 Hypertension:
- SBP: 140 mmHg or higher
- DBP: 90 mmHg or higher
Hypertensive Crisis:
- SBP: 180 mmHg or higher
- DBP: 110 mmHg or higher
The new guidelines also emphasize the importance of considering individual factors, such as age, sex, race, and comorbidities, when evaluating blood pressure levels. For seniors, the guidelines recommend:
- A more aggressive approach to blood pressure control, aiming for a target blood pressure of less than 130/80 mmHg.
- Considering the use of antihypertensive medications, even in the absence of symptoms, to reduce the risk of cardiovascular disease and stroke.
- Monitoring blood pressure regularly, ideally at home, to ensure accurate and consistent measurements.
It's essential to note that these guidelines are general recommendations, and individualized treatment plans should be developed in consultation with a healthcare provider, taking into account each senior's unique health status and needs.