New BP Guidelines for Older Adults
Some medical organizations, including the American College of Physicians (ACP) and American College of Family Physicians (ACFP), are recommending looser diagnostic and treatment guidelines for blood pressure in adults over the age of 60. According to the new guidelines, the threshold for lower-to-average risk older adults is a systolic reading less than 150 mm Hg. For people with a higher risk for cardiovascular events—including those with a history of stroke or transient ischemic attack (TIA)—the recommendation is less than 140 mm Hg systolic.
Less than 140 mm Hg had been the recommendation for high blood pressure diagnosis and treatment in adults over 60. Blood pressure guidelines are expected to remain somewhat controversial as medical professionals continue to weigh the benefits and risks of treating elevated BP in older people.
According to researchers, the primary conclusion is that when it comes to blood pressure, a "one size fits all" approach may not be best. However, current guidelines do not support individualized blood pressure goals.
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