Blood Pressure Guidelines Move Away From Medication for All Older Americans

For years, turning 65 with a blood pressure reading above 130 meant one thing: medication. A new analysis of the 2025 American Heart Association guidelines shows that this practice is changing, finding that roughly 10 percent of older adults previously flagged for treatment may no longer meet the criteria, a move experts say prevents overtreatment, but one that carries its own risks. The 2025 guidelines marked a significant departure from the 2017 AHA guidelines, which recommended treatment for all adults over 65 with blood pressure at or above 130/80 mmHg. The updated 2025 guidelines replace that blanket approach with one...