My Blood pressure is recording 166 over 86  and my pulse is 69.  I had 24 hour cuff which showed an average of 149 over 70 but that was last year. I do not have medication because my heart rate goes so low 40 that I get dizzy and extremely tired and get short of breath on the medication.  Am I severely at risk if I continue with my blood pressure at this level and occasionally the systoloc reading can br higher but yhe distoloc reading is rarely above 85?
Hello Welcome to Chat Doctor. Your BP is definitely higher than documented by the 24 HR cuff and this reading of 166/86, and you must be started on medications. High blood pressure over a long time can cause target organ damage which includes heart disease, enlargement of chambers of the heart, brain stroke, kidney damage and damage to retina of the eye among others. Since you have been suffering from High BP for more than one year, it may have started gradually affecting your body. There are many other medications which lower the BP and do not cause a decrease in the pulse rate. You can be safely started on those medications. I recommend tab telmisartan 40 mg once daily in the morning. Please consult your primary doctor about this. Wishing you good health. Regards