Older Adults and Hypertension: Beyond the 2017 Guideline for Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults – American College of Cardiology
Pharmacotherapy is recommended for persistently elevated systolic blood pressure (SBP) to reduce the risk of atherosclerotic cardiovascular disease (ASCVD). Hypertension is one of the primary modifiable risk factors for cardiovascular disease. Hypertension guidelines published by medical societies highlight the challenges of managing BP in older patients.
How common is hypertension in elderly?
According to the US National Health and Nutrition Examination Survey (NHANES), 70% of adults aged 65 have hypertension, a number that is expected to rise as our population ages, with 15% of the US population aged 65 in 2014 and 20% by 2050.
What percentage of elderly have high blood pressure?
Hypertension prevalence increased with age, rising from 7.5% among adults aged 18u201339 to 33.2% among those aged 40u201359, and 63.1% among those aged 60 and over, in both men and women.
Why is hypertension more common in the elderly?
Blood vessels naturally ‘harden’ with age, losing their elasticity, according to research, which could explain why older people are more likely to develop high blood pressure.
What is the best blood pressure medicine for the elderly?
When a diuretic is contraindicated, Angiotensin Receptor Blockers (ARBs) are used as a first-line treatment for hypertension in the elderly population. In elderly hypertensive patients with diabetes or heart failure, ARBs are used as a first-line treatment and an alternative to ACE inhibitors.
What is considered hypertension in elderly?
The previous guidelines set the threshold at 140/90 mm Hg for people under 65 and 150/80 mm Hg for those 65 and older, which means that 70% to 79% of men aged 55 and older now have hypertension, including many men whose blood pressure was previously considered healthy.
What should I do if my blood pressure is 160 over 100?
If your blood pressure is higher than 160/100 mmHg, three visits are sufficient; if it is higher than 140/90 mmHg, five visits are required before a diagnosis can be made; and if either your systolic or diastolic blood pressure remains high, hypertension can be diagnosed.
What should a 70 year olds blood pressure be?
The ideal blood pressure for seniors is now 120/80 (systolic/diastolic), which is the same as it is for younger adults; the high blood pressure range for seniors begins at hypertension stage 1, which ranges from 130-139/80-89.
Should I be worried if my blood pressure is 150 100?
As a rule of thumb, high blood pressure is defined as 140/90mmHg or higher (or 150/90mmHg or higher if you’re over the age of 80), while ideal blood pressure is defined as 90/60mmHg to 120/80mmHg.
What should an 80 year olds blood pressure be?
Most people aged 65 and older should keep their systolic blood pressure (the first number in a blood pressure reading) below 130 mmHg, according to the 2017 American College of Cardiology and American Heart Association blood pressure guidelines.
What is the best drink for high blood pressure?
7 Blood Pressure-Lowering Drinks
- Beet juice.
- Prune juice.
- Pomegranate juice.
- Berry juice.
- Skim milk.
- Tea.
- Pomegranate juice.
What blood pressure is stroke level?
Blood pressure readings of 180/120 mmHg are considered stroke-level, which means they’re dangerously high and necessitate immediate medical attention.
Which diuretic is best for elderly?
Recent medical guidelines have recommended thiazide-type diuretics as the preferred drug for the treatment of elderly hypertensive patients, followed by long-acting calcium antagonists, based on available clinical data.
What is the normal blood pressure for a 90 year old?
The usual target blood pressure for treating hypertension in patients over the age of 85 is 150/80 mmHg to reduce the risk of stroke, heart attack, and other cardiovascular events.
What are the four worst blood pressure medicines?
The medication you take may be determined by your individual risk factors.
- Furosemide (Lasix)
- Nifedipine (Adalat, Procardia)
- Terazosin (Hytrin) and Prazosin (Minipress)
- Hydralazine (Apresoline)
- Clonidine (Catapres)