What is the recommended systolic blood pressure goal for most adults over 60 with hypertension?

The recommended systolic blood pressure goal for most adults over 60 with hypertension is under 150 mmHg. Recent guidelines, such as those issued by the American College of Cardiology (ACC) and the American Heart Association (AHA), suggest that a target of less than 150 mmHg is appropriate for older adults. This recommendation considers the balance between achieving effective blood pressure control while minimizing the risk of potential adverse effects from treatment, particularly in older populations who may have different health considerations.

The goal of keeping blood pressure under 150 mmHg in this age group helps reduce the risk of cardiovascular events, while also taking into account the age-related physiological changes and the increased likelihood of comorbid conditions often seen in older adults. Setting more aggressive targets, like those under 140 mmHg or 130 mmHg, may not be practical or beneficial for many patients over 60, especially if it requires intensive medication regimens that could lead to adverse effects such as dizziness, falls, or renal impairment.

In sum, the guideline of under 150 mmHg aims to provide a safe and effective standard of care for the elderly population, thus optimizing their overall health and quality of life.