In adults 60 years of age or older, blood pressure treatment targets should be determined based on a patient’s history and risk factors.Īmerican College of Physicians’ and American Academy of Family Physicians recommendations for people 60 years of age or older with hypertension (high blood pressure) Treatment targets should always be determined after discussion between the person and their doctor about the potential benefits and harms of lowering blood pressure.Īdults 60 years of age or older with systolic blood pressure of 150 mm Hg or more should be treated with a goal of reducing systolic blood pressure to less than 150 mm Hg.Īdults 60 years of age or older who have had a stroke or transient ischemic attack (mini stroke) should be treated with a goal of reducing their systolic blood pressure to less than 140 mm Hg.Īdults 60 years of age or older who are at high risk for cardiovascular events (e.g., heart attack) should be treated with a goal of reducing their systolic blood pressure to less than 140 mm Hg, but this decision should be made on an individual basis. the aim was to lower systolic blood pressure (first number) to less than 150 mm Hg or to less than 140 mm Hg.people were 60 years of age or older and had hypertension and.They found 21 randomized controlled trials and 3 cohort studies of different blood pressure targets. The researchers did a systematic review, searching for studies up until September 2016. How much a person’s blood pressure should be lowered, especially for people 60 years of age or older, is not known. It is a very common disease and increases a person’s risk for other diseases, such as heart attack and stroke, and death. Hypertension is blood pressure that is higher than normal. The second number is the diastolic blood pressure and it tells you how much pressure your blood exerts on your artery walls between heart beats. The first number is the systolic blood pressure and it tells you how much pressure your blood exerts against your artery walls when your heart beats. In older adults who have hypertension (high blood pressure), what are the best blood pressure targets? Backgroundīlood pressure is reported with 2 numbers, such as 120/80 mm Hg. Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older to Higher Versus Lower Blood Pressure Targets: A Clinical Practice Guideline From the American College of Physicians and the American Academy of Family Physicians. In people 60 years of age or older, blood pressure targets should be determined based on their history and risk factors
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