What is the recommended blood pressure goal for adults aged 60 or older?

For adults aged 60 or older, the recommended blood pressure goal is less than 150/90. This guideline is based on research indicating that while lower blood pressure targets might be ideal for younger populations or those with certain health conditions, setting a goal of less than 150/90 in older adults provides a balance between reducing the risk of cardiovascular events and minimizing the potential for adverse effects associated with aggressive blood pressure treatment.

The rationale behind this guideline acknowledges several factors including the higher prevalence of co-morbidities in this age group, the potential for adverse effects from medications, and the overall goal of maintaining quality of life. Notably, excessively aggressive blood pressure control can lead to hypotensive episodes, falls, and associated complications, particularly in older individuals who may have altered physiology.

In contrast, lower blood pressure targets, such as those specified in other options, might not be as practical or beneficial for this demographic, making them less suitable according to current guidelines. The focus for those aged 60 and older is to prevent the risk of cardiovascular disease while ensuring that treatment remains safe and effective.