Arterial hypertension in the older adult: normal values ​​and treatment

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High pressure in older people, scientifically known as hypertension, must be controlled once it is detected, as high pressure in more advanced conditions increases the risk of developing serious cardiovascular diseases such as heart attack or stroke. Contrary to what is thought, most times the high pressure does not cause symptoms and acts silently in the body, which can cause serious complications.

It is common for pressure to increase with age, due to aging and weakening of the wall of blood vessels, and for this reason, in older adults, hypertension is only considered when the value of blood pressure exceeds 150 x 90 mmHg, as opposed to young adults, which occurs when you are over 140 x 90 mmHg.

Blood pressure values ​​in the older adult

In the table, the continuation presents the values ​​of blood pressure in the adult major and when it is considered that he is prehypertensive and hypertensive:

young adult

major adult

older adult with diabetes

ideal pressure

< 120 x 80 mmHg

< 120 x 80 mmHg

< 120 x 80 mmHg


120 x 80 mmHg to 139 x 89 mmHg

120 x 80 mmHg to 149 x 89 mmHg

120 x 80 mmHg to 139 x 89 mmHg


> o = 140 x 90 mmHg

> o = at 150 x 90 mmHg

> o = 140 x 90 mmHg

The value of the high pressure varies slightly in the adult major, it is considered normal that the pressure is a little higher during this stage of life. However, the ideal pressure for the adult mayor must be up to 120 x 80 mmHg, but it is considered acceptable up to 149 x 89 mmHg.

In the case of older adults who have diabetes, kidney failure or heart disease, the pressure must be controlled more rigorously, maintaining it below 140 x 90 mmHg or 130 x 90 mmHg.

How to detect arterial hypertension in the older adult

Normally, arterial hypertension in a major adult does not cause symptoms, except when it is suddenly out of control, and the diagnosis can be carried out through the measurement of arterial pressure in a conventional way by the nurse or doctor, being considered high when it reaches values equal to or greater than 150 x 90 mmHg.

However, when there are doubts regarding the time when the blood pressure increases or if it is really high, the doctor could recommend some diagnostic tests, such as: the MDPA or home monitoring of blood pressure, with several weekly measurements at home at the health station, through the MAPA, which is the outpatient monitoring of blood pressure, which is carried out by placing a device in the skin between 24 and 72 hours, which performs various measurements throughout the day and archiving for further evaluation.

See how to measure blood pressure correctly:

Why the pressure is higher in the adult mayor

Some risk factors for arterial hypertension in a major adult include:

  • Age over 65 years;

  • Hypertension in the family;

  • Excess weight or obesity;

  • Diabetes or high cholesterol and triglycerides;

  • Consumption of alcoholic beverages and being a smoker.

Blood pressure tends to rise as the age increases, as the body ages, it undergoes some changes such as stiffness and microlesions on the walls of blood vessels, in addition to hormonal changes during menopause and a greater impairment of the function of important organs such as el corazon y los riñones.

For this reason, it is very important to attend the annual routine consultations for a check, with a general practitioner, geriatrician or cardiologist, to detect changes in the earliest possible time.

How is the treatment performed?

To treat high blood pressure in a major adult, it is necessary to make some lifestyle changes, such as:

  • See a doctor every 3 months to evaluate the effectiveness of the treatment;

  • Weight reduction, in case the person suffers from excess weight;

  • Decreased consumption of alcoholic beverages;

  • Avoid the cigarette;

  • Reduce salt consumption and avoid fatty foods such as sausages, salads and list foods;

  • Practice aerobic physical activity, at least 3 times a week. See which ones are the best exercises for the third age;

  • Consume foods richer in potassium, magnesium, calcium and fiber;

  • Carry out some relaxation technique, such as yoga or pilates.

Treatment with medication is also carried out, mainly in cases where the pressure is very high, which does not sufficiently reduce the changes in life habits, drugs are used to reduce pressure such as diuretics, antagonists of calcium, angiotensin inhibitors and beta-blockers, for example. Learn more about medications to control blood pressure.

In addition, it is important to stress that the treatment for arterial hypertension in older adults must be carried out in a very careful and individualized way, especially for those who have other health problems, such as heart disease, urinary incontinence and a tendency to feel sick when getting up.

It is also important to follow a diet rich in vegetables, as some have active principles that can complete the treatment with the medicines, such as the action, berenjena yoke with orange or betabel with maracuyá, for example. These foods improve circulation and have diuretic properties that help control blood pressure.

See how to lower blood pressure in the continuation video:

See some home remedies for high pressure.

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Consult a Doctor | Translated by User2937

Content for educational purposes only

The translator user relied on the following text:

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Disclaimer – (English version>) This content has been prepared based on information from research, additional publications, or the translation/verification work of a volunteer editor of this web council. This is a non-profit service. It is strongly recommended that all details and information published be carefully verified. We never allow medication recommendations, medication package inserts or any medication guidance. We never allow partisan politics as information.

Isenção de responsabilidade – (versão em português): Este conteúdo foi preparado com base em informações de pesquisas, publicações adicionais ou no trabalho de tradução/verificação de um editor voluntário deste conselho web. Este é um serviço sem fins lucrativos. É altamente recomendável que todos os detalhes e informações publicadas sejam verificadas cuidadosamente. Nunca permitimos recomendações de medicamentos, bulas ou qualquer orientação sobre medicamentos. Nunca permitimos a política partidária como base para checagem. Para mais informações, leia nossos termos.

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