What blood pressure target is recommended for adults over 75?

Bottom line: The studies retrieved do not answer this question: none tests or compares blood pressure targets in adults over 75, so I can't give a target from them.

What the studies found:
- The nearest study is a dose-response meta-analysis in atrial fibrillation (23 studies, 476,750 people). It found a U-shaped link between systolic pressure and all-cause mortality, with the lowest risk at 134 mmHg (RR 0.92 vs. 120 mmHg), while stroke and intracranial haemorrhage risk rose steadily with higher systolic pressure [1]. It is observational, covers people with AF rather than older adults generally, and does not report results for those over 75, so it is indirect.
- The other papers cover drug effects (zilebesiran [2], telmisartan [3]), emergency treatment [4], a home-monitoring pilot [5] and young or healthy participants [6][7]. None sets or tests a target for older adults.

Where it is uncertain: No pooled analysis or trial of treatment targets in people over 75 was found. Observational associations like the one in [1] can reflect illness, frailty or reverse causation, and they cannot show what happens if pressure is deliberately lowered to a given number.

What this does and does not support: These studies do not support any specific target for adults over 75, so a clinician would need the dedicated target trials and guidelines, which were not retrieved here.

This is not medical advice. Talk to your doctor about your own situation.

Studies cited
1. Non-linear associations between blood pressure and clinical outcomes in atrial fibrillation: a systematic review and dose-response meta-analysis. Meta-analysis · Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026 · PubMed
2. Efficacy and safety of zilebesiran in adults with hypertension: a systematic review and meta-analysis of randomized controlled trials. Meta-analysis · European journal of clinical pharmacology · 2026 · PubMed
3. Telmisartan-based monotherapy and combination regimens for blood pressure control in adults with hypertension: a systematic review, meta-analysis, and GRADE assessment. Meta-analysis · BMC cardiovascular disorders · 2026 · PubMed
4. Clevidipine vs. nicardipine in hypertensive crisis: a systematic review and meta-analysis. Meta-analysis · BMC cardiovascular disorders · 2026 · PubMed
5. Wireless Home Blood Pressure Monitoring With Health Coaching for Hypertension Management at a Federally Qualified Health Center: Pilot Randomized Controlled Feasibility and Acceptability Study. Randomized trial · JMIR formative research · 2026 · PubMed
6. Glabridin content and metabolic effects of liquorice confectionaries: A secondary analysis of a randomized crossover trial in young adults. Randomized trial · PloS one · 2026 · PubMed
7. Efficacy of mental and physical training on blood pressure and resting heart rate among physically inactive young adults with elevated blood pressure: a randomized controlled trial. Randomized trial · Scientific reports · 2026 · PubMed

Searched Europe PMC: blood AND pressure AND target AND recommended AND adults · 12 found, 7 cited

This summarizes published research. It is not medical advice: talk to a clinician about your own situation.

Also discussed here:
- Is 130/80 very high blood pressure for a 62 year old?
- Do Common Food Preservatives Raise Blood Pressure and Heart Risk?