ELDERLY BLOOD PRESSURE RANGES Recently, the American Heart Association (AHA) updated their guidance to indicate that people age 65 and older should ideally have a blood pressure reading lower than 130/80 mm Hg (millimeters of mercury). The first number (systolic) measures artery pressure when the heart is pumping.
New Blood Pressure Standards for Seniors
The ideal blood pressure for seniors is now considered 120/80 (systolic/diastolic), which is the same for younger adults.
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.
According to the Heart Foundation of Australia, as a general guide: blood pressure below 120/80 mmHg can be classified as 'optimal'; blood pressure between 120/80 and 129/84 mmHg is 'normal'; and. blood pressure between 130/85 and 139/89 mmHg is classified as 'high-normal'.
Hypertension is one of the primary modifiable risk factors for cardiovascular (CV) disease and its prevalence and severity both increase with age. According to the US National Health and Nutrition Examination Survey (NHANES), 70% of adults ≥65 years have hypertension.
Call 911 or emergency medical services if your blood pressure is 180/120 mm Hg or greater and you have chest pain, shortness of breath, or symptoms of stroke. Stroke symptoms include numbness or tingling, trouble speaking, or changes in vision.
Take it first in the morning before eating or taking any medications. Take it again in the evening. Each time you measure, take two or three readings to make sure your results are the same. Your health care provider might recommend taking your blood pressure at the same times each day.
If you have a BP of 140/90, that is considered high blood pressure and you should discuss this with your doctor. The first thing that is usually recommended for people with high blood pressure to do is lifestyle changes such as: Maintaining a healthy weight. Consuming a healthy balanced diet low in salt.
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.
Monitoring High Blood Pressure In the Elderly
While the range for high blood pressure used to be 140/90, the American Heart Association and the American College of Cardiology recently lowered their guidelines to 130/80.
While both numbers in a blood pressure reading are essential for diagnosing and treating high blood pressure, doctors primarily focus on the top number, also known as systolic pressure.
Caffeine may cause a short, but dramatic increase in your blood pressure, even if you don't have high blood pressure. It's unclear what causes this spike in blood pressure. The blood pressure response to caffeine differs from person to person.
For 30% of them, the systolic pressure—the first number of a blood pressure reading—was 5 mm Hg or more different from the office reference measurement. The diastolic pressure (second number) was similarly inaccurate. "In one patient, the pressure was off by 21 mm Hg," Dr. Hiremath says.
About 70 percent of U.S. adults 65 and older have high blood pressure, but many do not know they have it, according to the Centers for Disease Control and Prevention.
Some examples of aerobic exercise that can help lower blood pressure include walking, jogging, cycling, swimming or dancing. Another possibility is high-intensity interval training. This type of training involves alternating short bursts of intense activity with periods of lighter activity.
Blood pressure is mostly a silent disease
Unfortunately, high blood pressure can happen without feeling any abnormal symptoms. Moderate or severe headaches, anxiety, shortness of breath, nosebleeds, palpitations, or feeling of pulsations in the neck are some signs of high blood pressure.
The incidence of first-ever stroke was strongly related to poor BP control. Among the treated patients who later had strokes, only 5% of cases had BP levels <140/90 mm Hg. It was estimated that ≈45% to 52% of incident strokes among pharmacological-treated patients were attributable to uncontrolled blood pressure.
Anxiety doesn't cause long-term high blood pressure (hypertension). But episodes of anxiety can cause dramatic, temporary spikes in blood pressure.
Insomnia is linked to high blood pressure and heart disease. Over time, poor sleep can also lead to unhealthy habits that can hurt your heart, including higher stress levels, less motivation to be physically active, and unhealthy food choices.
Something as simple as keeping yourself hydrated by drinking six to eight glasses of water every day improves blood pressure. Water makes up 73% of the human heart,¹ so no other liquid is better at controlling blood pressure.
(It's best to take your blood pressure from your left arm if you are right-handed. However, you can use the other arm if you have been told to do so by your healthcare provider.) Rest in a chair next to a table for 5 to 10 minutes. (Your left arm should rest comfortably at heart level.)
Blood Pressure Cuff Placement
If the cuff is too small, it can add 2 to 10 points to your bp measurement. Be sure to roll up your sleeve for a blood pressure test and also let your doctor know if the cuff feels too tight around your arm.