In elderly patients, what blood pressure goal may be indicated?

In elderly patients, setting appropriate blood pressure targets is crucial for managing hypertension effectively while minimizing the risk of adverse effects. A target of less than 150/90 mmHg is often recommended for older adults, particularly those over the age of 65, as this level balances the benefits of reducing cardiovascular risk with the potential risks of lowering blood pressure too aggressively.

This target reflects the consideration that elderly individuals may experience a higher incidence of side effects from medications and have different physiological responses compared to younger populations. Lowering blood pressure too much can lead to issues such as dizziness, falls, and hypotension, which can be particularly dangerous for this age group. Therefore, aiming for less than 150/90 mmHg allows for safer management while still providing protection against the complications associated with high blood pressure, such as stroke and heart disease.

Setting stricter targets, such as less than 140/80 mmHg or 120/80 mmHg, may not be appropriate for all elderly patients, as the risks can outweigh the benefits. A target of less than 160/100 mmHg may not be recommended either, as it might not adequately address the patient's hypertension and associated risks.