Hello and welcome to HCM
Yes surely you needs to go to the ER and get immediate treatment for High blood pressure
. Your both systolic and diastolic pressure reading are quite high at with this reading you might get brain hemorrhage
. Consult your doctor in ER and revise your medication and get admitted till the BP was under control. Some precaution and investigation you needs are:
1. Get your Lipid profile
2. Reduce your weight if you are overweight
3. Avoid salty, fatty and oily diet.
4. do regular exercise for about 1 hour daily.
5. Reduce stress
as much as you can
6. get your cardiac check up once in a year.
Immediately go to ER and get treated for High BP
and after that follow the instructions as said, so that you can control your BP with minimum dose of Anti-hypertensive drugs.