1. What are the most current guidelines and criteria for treating mild hypertension?
My hypertension seems extremely labile--at home it is in the mid 130's/80's, at work consistently 150's/90's, yet after very mild exercise yesterday (5 minutes of walking uphill) it was 198/102, accompanied by chest pain for a few minutes.
I am just beginning the process of being worked up for this (up until 6 months ago my usual BP was in the 100/50-60 range, work or home). I am concerned if I am put on antihypertensives my pressure will be too low at home.
I am 42, of normal weight, nonsmoking, nondrinking and vegan. Family hx of MI and stroke. Of course I am getting medical attention, but my doc seems extremely unconcerned about the blood pressure part of this. He is way more concerned about the chest pain than I am. (incidently, normal EKG and excellent lipid profile). I would just like some factual info on what the medical indications are for treating hypertension. Could the extreme shifts in BP be causing chest pain? I know from posting before that there are many causes, and we will eventually get to the bottom of it, but in the meantime do you think I should be treated for hypertension?