Blood pressure is one of the most important indicators of heart health. While it can vary slightly over time, the concept of a “normal” value for each age group should be treated with caution.
According to the 2024 European guidelines, high blood pressure should never be considered normal just because a person is older.
Scientific evidence shows that cardiovascular risk increases even at slightly elevated levels, starting above 115 mmHg for systolic pressure.
A reading above 140/90 mmHg is considered high at any age and should be evaluated by a doctor.
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It is true that isolated systolic hypertension, which is when the upper value is high and the lower one remains normal, becomes more common with age.
However, this does not mean it is harmless.
Age and blood pressure management
For adults, an ideal blood pressure remains below 120/70 mmHg. In older adults, slightly higher values may be tolerated, but they are never considered optimal.
The 2024 European Society of Cardiology guidelines classify adult blood pressure in three main categories:
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- Normal: below 120/70 mmHg
- Elevated: 120–139/70–89 mmHg
- High (hypertension): 140/90 mmHg or higher
The classification
This classification applies to all adults aged 16 and over and is based on measurements taken in a calm, seated position using a validated device.
Among older individuals, treatment should always be tailored to the person’s overall health and tolerance.
For healthy adults under 85, the target remains around 120–129 mmHg, as long as the therapy does not cause side effects.
For those over 85 or considered medically frail, a more flexible approach is recommended.
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This article is based on information from Thewomhealthy.it.
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