How Can I Be More Active
- Check first with your healthcare provider before increasing your physical activity. Ask your provider what type and amount of exercise is right for you.
- Choose aerobic activities such as walking, biking or swimming.
- Start slowly and increase activity gradually. Aim for a regular routine of activity 5 times a week for 30 to 45 minutes each session.
What Is Normal Blood Pressure For Senior Citizens
Your blood pressure fluctuates throughout the day. Its lowest when you sleep but rises when youre active, excited, or stressed out. This is normal. However, its stable most of the time and should be under 120/80 mmHg. Lower is better, but very low blood pressure for elderly people is also an issue because it can make them feel lightheaded and contribute to falls.
|and/or||Higher than 120|
The values above are for the general population. What should an elderly persons blood pressure be? Senior citizens differ from younger people in many ways. Age, frailty, other diseases, and the medication an older person takes all influence the approach to treatment.
When should we start treating high blood pressure for older adults? The most common threshold for beginning medications is 130/80 mmHg.
Overmedication of seniors is a serious problem. Treating multiple diseases, each with its own set of medications, can add up to over ten different pills per day, and every one of them can have side effects. Therefore, weighing the pros and cons of treating high blood pressure in seniors for every individual patient is necessary.
Too much medication can also cause orthostatic hypotension, that is, a temporary drop in blood pressure upon standing up. This can, in turn, lead to dizziness and cause falls. If overmedication is the cause, we have to rethink the doses. If the issue persists, consider getting a medical alert system.
Hypertensive Crisis: When You Should Call 911 For High Blood Pressure
A hypertensive crisis is when blood pressure rises quickly and severely with readings of 180/120 or greater.;;
The consequences of uncontrolled blood pressure in this range can be severe and include:
- Pulmonary edema
An elevated reading may or may not be accompanied by one or more of the following symptoms:
- Severe headache
- Severe anxiety
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High Blood Pressure Facts
High blood pressure is serious because it can lead to major health problems. Make a point of learning what blood pressure should be. And, remember:
If your doctor asks you to take your blood pressure at home, keep in mind:
- There are many home blood pressure monitors for sale. Ask your doctor, nurse, or pharmacist which monitor you need and how to use it. Have your monitor checked at the doctor’s office to make sure it works correctly.
- Avoid smoking, exercise, and caffeine 30 minutes before checking your blood pressure.
- Make sure you are sitting with your feet uncrossed and on the floor, and that your back is resting against something.
- Relax quietly for five minutes before checking your blood pressure.
- Keep a list of your blood pressure numbers, what time you measured your blood pressure, and when you took your blood pressure medication . Share this information with your doctor, physician’s assistant, or nurse.
Improving Health With Current Research
Learn about the following ways in which we continue to translate current research and science into improved health for people who have high blood pressure. Research on this topic is part of our broader commitment to advancing scientific discovery in heart and vascular disease and health disparities and inequities research.
Learn about some of the pioneering research contributions we have made over the years that have improved clinical care.
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Which Number Is More Important
Typically, more attention is given to systolic blood pressure as a major risk factor for cardiovascular disease for people over 50. In most people, systolic blood pressure rises steadily with age due to the increasing stiffness of large arteries, long-term buildup of plaque and an increased incidence of cardiac and vascular disease.
However, either an elevated systolic or an elevated diastolic blood pressure reading may be used to make a diagnosis of high blood pressure. According to recent studies, the risk of death from ischemic heart disease and stroke doubles with every 20 mm Hg systolic or 10 mm Hg diastolic increase among people from age 40 to 89.
What Is The Treatment For High Blood Pressure
Mild high blood pressure can often be treated by making lifestyle changes, including:
- losing weight
- limiting your alcohol intake to no more than 2 drinks per day for men, or 1 drink per day for women with high blood pressure
However, lifestyle changes may not be enough. Some people also need medication to help reduce blood pressure levels to normal. While medicines are usually very effective at lowering blood pressure, they may cause side effects in some people.
Usually doctors will start a person on a low dose of a medicine and see how it goes. If it doesnt work well enough, or if there are troublesome side effects, other medicines will be used, sometimes in combination, until the blood pressure is controlled. This can take time. Some people will take medicines for life, although others will find that continuing to lose weight and changing their diet reduces the need for medicines.
Someone whose blood pressure is very high or causing symptoms such as headache, or if they have conditions such as heart disease or diabetes, may need urgent treatment with medicines to bring the blood pressure down to normal levels.
The Royal Australian College of General Practitioners recommends that you regularly review with your doctor or specialist any medications you are taking for high blood pressure or high cholesterol to assess the ongoing benefits and risks. For further information, visit the Choosing Wisely Australia website.
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What Do Blood Pressure Numbers Mean
Blood pressure is measured using two numbers:
The first number, called systolic blood pressure, measures the pressure in your arteries when your heart beats.
The second number, called diastolic blood pressure, measures the pressure in your arteries when your heart rests between beats.
If the measurement reads 120 systolic and 80 diastolic, you would say, 120 over 80, or write, 120/80 mmHg.
Understanding Your Blood Pressure Reading
Blood pressure is measured in millimetres of mercury and is;given as 2 figures:
- systolic pressure ;the pressure;when your heart pushes blood out
- diastolic pressure ;the pressure when your heart rests between beats
For example, if;your blood pressure is “140 over 90”, or 140/90mmHg, it means you have a systolic pressure of 140mmHg and a diastolic pressure of 90mmHg.
As a general guide:
- high blood pressure is considered to be;140/90mmHg or higher or 150/90mmHg or higher if you’re over the age of 80
- ideal blood pressure is usually considered to be between 90/60mmHg and 120/80mmHg, while the target for over-80s is below 150/90mmHg
Blood pressure readings between 120/80mmHg and 140/90mmHg could mean you’re at risk of developing high blood pressure if you do not take steps to keep your blood pressure under control.
Page last reviewed: 23 October 2019 Next review due: 23 October 2022
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Heart Rate And Exercise
In discussions about high blood pressure, you will often see heart rate mentioned in relation to exercise. Your target heart rate;is based on age and can help you monitor the intensity of your exercise.
- If you measure your heart rate before, during and after physical activity, youll notice it will increase over the course of the exercise.
- The greater the intensity of the exercise, the more your heart rate will increase.
- When you stop exercising, your heart rate does not immediately return to your normal heart rate.
- The more fit you are, the sooner your heart rate will return to normal.
Regular Blood Pressure Checks For Over Over 40’s
The only way to find out whether you have high blood pressure is to have your blood pressure checked regularly. Ask your GP when you are next due for yours to be checked.
Blood pressure checks are usually available on request at most GP surgeries and health clinics. Some surgeries have home monitoring devices available,;which you may be able to use at the;time of blood pressure medication start up or change. Many also have a policy of arranging regular checks for you.
Adults who are over 40 and have not been diagnosed with high blood pressure should have their blood pressure checked at least once every five years. However, your blood pressure should ideally be checked more frequently, particularly if you have any contributory risk factors.
What The Numbers Mean
For most adults, a normal blood pressure is less than 120/80 mm Hg.Your blood pressure is considered high when you have consistent systolic readings of 130 mm Hg or higher or diastolic readings of 80 mm Hg or higher.
For children younger than 13, blood pressure readings are compared with readings common for children of the same, age, sex, and height. Read more about blood pressure readings for children.
Talk to your doctor if your blood pressure readings are consistently higher than 120/80 mm Hg. NHLBI-supported research indicates that systolic blood pressure greater than 120 mm Hg can be increasingly harmful to health.;Note that readings above 180/120 mm Hg are dangerously high and require immediate medical attention.
What Is Normal Blood Pressure According To Age
Blood pressure is the pressure of the blood within the arteries. It is produced primarily by the contraction of the heart muscle. Its measurement is recorded by two numbers. The first is measured after the heart contracts and is highest. The second is measured before the heart contracts and the lowest.;A blood pressure cuff is used to measure the pressure. Elevation of blood pressure is called “hypertension“.
The chart shows normal blood pressure according to age both male and female.; Diastolic blood pressure and Systolic Blood Pressure are included in the chart.
Normal Blood Pressure By Age
What If Lifestyle Changes Dont Help Lower My Blood Pressure
If diet, exercise and other lifestyle changes dont work to lower your blood pressure, your healthcare provider prescribe hypertension medications. Your provider will take into account these drugs effect on other conditions you may have, such as heart or kidney disease, and other drugs youre taking.
You might need to take hypertension medicine from now on. Be sure to follow your providers dosing directions exactly.
Last reviewed by a Cleveland Clinic medical professional on 03/20/2020.
Does High Blood Pressure Increase Heart Rate
Heart rate and blood pressure do not necessarily increase at the same rate. A rising heart rate does not cause your blood pressure to increase at the same rate. Even though your heart is beating more times a minute, healthy blood vessels dilate to allow more blood to flow through more easily. When you exercise, your heart speeds up so more blood can reach your muscles. It may be possible for your heart rate to double safely, while your blood pressure may respond by only increasing a modest amount.
What Should You Not Do Before Taking A Blood Pressure Reading
They should not be talking when the blood pressure is being taken. Smoking, exercise or drinking caffeinated beverages within 30 minutes before their blood pressure reading can give a wrong reading. The standard of care is to take the first blood pressure reading.
Just one 24-ounce soft drink causes an average 15-point bump in systolic pressure and 9 in diastolic . This isnt just about the number of friends you have its about feeling connected.
Reduce And Manage Stress
The body releases chemicals and hormones that can narrow the blood vessels temporarily when we are under stress. Stress also gets our heart beating faster. Long-term stress is thought to increase the risk of getting heart problems, such as stroke and heart attacks. Taking time to relax and practice stress-reducing exercises can be very helpful.
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What Is High Blood Pressure
Blood;pressure is defined as the force of blood pushing against the walls of the arteries as the heart pumps blood. High blood pressure also known as hypertension is a disease in which blood flows through blood vessels at a higher than normal pressure.
Blood pressure is measured with two numbers. The first, or top number, is the pressure in your blood vessels when your heart beats, called the systolic pressure. Systolic pressure is the higher of the two numbers. The second, or bottom number, measures the force of blood in your arteries while your heart is relaxed between beats. The bottom number is the lower of the two and is called the diastolic pressure.
Normal pressure is 120/80 or lower. Your blood pressure is considered high 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. A reading this high is considered hypertensive crisis.
Readings between 120/80 and 129/89 are considered pre-hypertension. People with pre-hypertension do not have blood pressure as low as it should be but are not yet considered to have high blood pressure.;
How To Use A Home Blood Pressure Monitor
- Be still. Don’t smoke, drink caffeinated beverages or exercise within 30 minutes before measuring your blood pressure. Empty your bladder and ensure at least 5 minutes of quiet rest before measurements.
- Sit correctly.Sit with your back straight and supported . Your feet should be flat on the floor and your legs should not be crossed. Your arm should be supported on a flat surface with the upper arm at heart level. Make sure the bottom of the cuff is placed directly above the bend of the elbow. Check your monitor’s instructions for an illustration or have your healthcare provider show you how.
- Measure at the same time every day. Its important to take the readings at the same time each day, such as morning and evening. It is best to take the readings daily however ideally beginning 2 weeks after a change in treatment and during the week before your next appointment.
- Take multiple readings and record the results. Each time you measure, take two or three readings one minute apart and record the results using a tracker. If your monitor has built-in memory to store your readings, take it with you to your appointments. Some monitors may also allow you to upload your readings to a secure website after you register your profile.
- Don’t take the measurement over clothes.
|and/or||HIGHER THAN 120|
Note: A diagnosis of high blood pressure must be confirmed with a medical professional. A doctor should also evaluate any unusually low blood pressure readings.
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Home Blood Pressure Testing
Blood pressure tests can also be carried out at home using your own blood pressure monitor.
Like 24-hour or ambulatory monitoring, this can give a better reflection of your blood pressure.
It can also allow you to monitor your condition more easily in the long term.
You can buy a variety of low-cost monitors so you can test your blood pressure at home or while you’re out and about.
Measure your blood pressure twice a day, ideally in the morning and the evening, while you’re sitting down.
Each time take 2 readings, 1 minute apart. Continue to measure your blood pressure twice a day for 7 days.
Your doctor or nurse will use this information to work out your average blood pressure.
It’s important to make sure you use equipment that’s been properly tested.
The British Hypertension Society has information about;validated blood pressure monitors that are available to buy.
Normal Blood Pressure For Men
Men are recommended to have an average normal blood pressure of 120/80; however, as;we have noted, there are varying factors to consider when determining what works for each person. What is normal for a man in his 30s is not deemed a normal reading for a man in his 60s.
The following are the average blood pressures and the corresponding lows and highs for men from ages 15 to 64 years.
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Research For Your Health
The NHLBI is part of the U.S. Department of Health and Human Services National Institutes of Health the Nations biomedical research agency that makes important scientific discovery to improve health and save lives. We are committed to advancing science and translating discoveries into clinical practice to promote the prevention and treatment of heart, lung, blood, and sleep disorders, including high blood pressure. Learn about the current and future NHLBI efforts to improve health through research and scientific discovery.
High Blood Pressure In Pregnancy
In the United States, high blood pressure happens in 1 in every 12 to 17 pregnancies.Its important to monitor blood pressure before, during, and after pregnancy. This is because high blood pressure during pregnancy can harm a mothers kidneys and other organs and can cause early birth and low birth weight.
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Management Of Hypertension In The Elderly
We can treat moderately elevated blood pressure levels in the elderly by making simple lifestyle changes. This should be the first step before we resort to drugs. The following changes can be enough for some seniors to put their hypertension under control:
- Adopting a healthy diet with a limited sodium intake
- Losing excess body weight and maintaining a healthy BMI
- Being physically active every day for at least 30 minutes
- Quitting smoking and limiting alcohol consumption