Blood pressure: For a 75-year-old man the general target office blood pressure.....

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For a 75-year-old man, the general target office blood pressure is less than 140/90 mmHg (and ideally under 130/80 mmHg if he is active, independent, and tolerates the medication well). [1, 2, 3]

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Recommended Blood Pressure Targets for Age 75

Standard / General Target: Less than 140/90 mmHg is widely recommended for older adults aged 65 to 79 to reduce the risk of stroke and heart disease. [1, 2]
Aggressive / Fit Target: Less than 130/80 mmHg (or close to <120/80 mmHg) may be pursued if the individual is healthy, active, and has no history of severe dizziness, falls, or multi-organ fragility. [1, 2]
Frailer / High-Caution Target: Less than 140/90 mmHg or a systolic range of 140–150 mmHg is preferred if he experiences frequent lightheadedness, has multiple chronic illnesses, takes several medications, or is prone to falls. [1, 2]

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Key Considerations

Isolated Systolic Hypertension: Many individuals in their 70s have normal diastolic pressure (under 80–89 mmHg) paired with high systolic pressure (above 140 mmHg) due to natural stiffening of the arteries. [1]
Avoiding Low Pressure (Hypotension): Blood pressure that drops too low (systolic consistently under 100 mmHg or accompanied by dizziness and fatigue) can lead to dangerous falls or reduced blood flow to the brain and kidneys. [1, 2]
Personalized Assessment: Targets should always be confirmed with a primary care physician or cardiologist who can balance cardiovascular protection against side effects and overall physical frailty. [1, 2]