The normal blood pressure for people over 60 years old is generally controlled between 90-140 mmHg for high pressure and 60-90 mmHg for low pressure. Blood pressure is influenced by factors such as age, underlying diseases, and measurement methods, and needs to be comprehensively evaluated based on individual circumstances.
Blood pressure management for the elderly should focus on high blood pressure values, which should ideally be maintained between 120-140 mmHg. The low pressure value usually decreases with the decrease of vascular elasticity, but should not be lower than 60 mmHg. It is recommended to conduct home measurements within one hour after waking up in the morning or in a quiet state before bedtime. Smoking, drinking coffee, and vigorous exercise should be avoided before the measurement. The cuff type electronic blood pressure monitor needs to be calibrated regularly. When measuring, maintain a seated position with back support, place both feet flat on the ground, and keep the cuff at the same level as the heart. Some elderly people may have white coat hypertension, and the measured values in the clinic may be higher than the actual level. It is recommended to obtain more accurate data through 24-hour dynamic blood pressure monitoring. People with diabetes or chronic kidney disease need to control their blood pressure in a more strict range, usually not more than 130/80 mm Hg.
Daily intake of sodium should be limited to no more than 5 grams per day, and intake of potassium rich vegetables and fruits such as bananas and spinach should be increased. Moderate aerobic exercise such as brisk walking and Tai Chi, accumulating 150 minutes per week. To avoid sudden changes in posture that can cause orthostatic hypotension, follow the "three and a half minutes" principle when waking up. Regularly monitor blood pressure and record trends. Seek medical attention promptly if symptoms persist above 160/100 mmHg or are accompanied by dizziness, blurred vision, etc. Antihypertensive drugs should be taken according to the doctor's advice and the dosage should not be increased or decreased on one's own.
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