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High Blood Pressure in Older Adults What You Need to Know?

By: Aashay Edwin Maghi (CPT)

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Hypertension in Your Golden Year

High blood pressure becomes more common after age 60 due to stiffer arteries and hormonal changes. Nearly two‑thirds of adults over 60 have hypertension, making regular checks vital.  

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Why Age Raises Blood Pressure

As we age, artery walls thicken and lose flexibility, forcing the heart to pump harder. Kidney function also declines, making it harder to balance fluids and salts.  

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Gender Differences in Elder Hypertension

Men under 55 have higher rates, but after menopause, women catch up and often surpass men. Hormonal shifts contribute to this post‑menopausal blood‑pressure rise.  

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Recognizing Silent Symptom

Most older adults feel fine, yet damage builds silently in the heart and kidneys. Occasional headaches or dizziness may be the only early warning signs.  

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The Role of Lifestyle Factor

Poor diet, lack of exercise, and excess weight worsen hypertension risk in seniors. Small changes like walking 30 minutes daily can significantly lower blood pressure.

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Medical Conditions That Contribute

Kidney disease, diabetes, and sleep apnea often co‑exist with hypertension in older adults. Managing these conditions helps control blood pressure more effectively.  

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Recommended Blood Pressure Target

Most guidelines suggest keeping systolic pressure below 150 mm Hg for adults over 60, or <140 mm Hg if at high cardiovascular risk. Your doctor will set personalized goals based on overall health.  

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First‑Line Treatments for Senior

Lifestyle changes in diet, exercise, salt reduction often come first in older patients. Medications like thiazide diuretics, ACE inhibitors, or calcium channel blockers may be added if needed.  

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Monitoring & Follow‑Up

Regular home or clinic blood pressure checks are crucial to track progress and adjust treatment. Bring a record to each appointment to ensure personalized care.  

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Improving Quality of Life

Controlling hypertension reduces risks of heart attack, stroke, and kidney failure in seniors. With small, consistent steps, older adults can stay active, independent, and healthy.  

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Doctor’s Advice: First Line Treatment for High Blood Pressure Explained 

By: Aashay Edwin Maghi (CPT)