“Treatment to at least current guideline standards for BP (<150/90 mm Hg) substantially improves health outcomes in older adults. The guidelines are based on a recent multi-study review, which concluded: That could mean thousands of patients stop or reduce their blood pressure medication. The groups argue that potential harms outweigh the potential benefits of additional treatment, CNN reported. While those with a history of stroke or heart attack should maintain systolic pressure below 140, researchers said those in the 140-150 range may not necessarily need treatment. The American College of Physicians and the American Academy of Family Physicians now say a systolic pressure (the top number) below 150 mm Hg, is an appropriate target for healthy older adults. Revised guidelines from two leading medical groups may make it a little easier, but not without drawing fire from other health professionals.Ĭritics argue that the new target for adults over age 60 is too high, and delayed treatment could put more people at risk. Adults age 60 and older often struggle to keep their blood pressure in check.