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Is your 'perfect' blood pressure actually putting you at risk? For adults over 70, the common 120/80 target might be dangerously low, leading to dizziness, falls, and even cognitive decline. Dr. Kevin Adewale reveals what most doctors won't tell you. The widely accepted blood pressure guideline of 120/80 was largely established based on middle-aged adults, not seniors. As a cardiothoracic surgeon, Dr. Adewale explains how this outdated standard can be detrimental for older bodies. After 60, your arteries gradually lose their elasticity and stiffen, and your body's natural pressure sensors (barrel receptors) slow down. While your doctor might praise a low reading like 118/72, for someone over 70, it could be a sign of over-medication, increasing your risk of serious health issues. New research published in the Journal of the American Medical Association reveals that for adults over 75, the optimal systolic pressure (the top number) is actually between 130 and 145 mmHg. This range is associated with better outcomes, including fewer hospitalizations, improved cognitive function, and lower overall mortality. Aggressive treatment to achieve targets below 120 for seniors can lead to a 28% higher risk of serious falls and fractures, which for many older adults, can trigger a rapid health decline. Learn to identify common symptoms of iatrogenic hypotension, or medication-induced low blood pressure, such as dizziness or light-headedness when standing up, morning fatigue, slower thinking, and unexplained leg weakness. These are often dismissed as 'just aging' but could be signs of over-medication. Dr. Adewale provides a simple, at-home orthostatic blood pressure test you can perform today with a standard home blood pressure monitor to assess your real cardiovascular risk and ensure your blood pressure is truly optimal for your age, potentially preventing falls and cognitive issues. 00:00 — Perfect BP for older adults? 00:40 — Origin of 120/80 standard 01:32 — Arterial changes and aging 02:55 — New optimal BP research 04:01 — Dangers of excessively low BP 05:51 — Brain under-perfusion, cognitive fog 09:16 — How to test: Orthostatic BP 11:07 — Recommended BP targets by age 12:46 — Three questions for doctor 16:06 — Summary and action plan