My age is 29 and I was detected blood pressure of 140/90 which I have measured many times. Sometimes it goes 150/100 I have done 2 decho stress test which I came at 85% of total walking doctors said its normal my lipid profile is also on below border level my weight is 98 kg my height is 5.11 inch .once when I did ecg in digital machine it came as irregular twice but when I do normal ecg all doctors said its normal. I have started taking telvas 20 mg and my bp is 116/71 shall I take medicine when my bp is already low or normal whatever you consider it is. I am very confused what to do I can not enjoy my family life. Pls help.

Dr. Sameer MehrotraCardiologist19yrs exp

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1) 140/90 is pretty normal as per latest hypertension guidelines in a normal adult of your age. 2) Occassional increase from this level, will not be termed hypertension unless it is sustained persistently. 3) You seem to be more health anxious, this anxiety will leads to anxiety induced increase of blood pressure, so it is better if instead of being anxious or panicking you relax. 4) Your irregular gear rate could be due to faulty machine reading. Since your Ecg has been normal. 5) At your age first line of management is starting to live a healthy lifestyle rather than taking medicines. Exercise for 40 mins daily, quit drinking and smoking, eat a healthy diet while avoiding extra salt of high salty food. IF despite these measures your BP remains above 140/90 mmHg then start with low dose medication. 6) To relieve your anxiety you can get a 24 Hr Holter and 24 hr Ambulatory BP monitoring if they are normal then you can be reassured to not worry. 

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