Hello! Welcome on HCM! I passed carefully through your question and would explain that a single high blood pressure values does not indicate uncontrolled high blood pressure. I recommend you to closely monitor your blood pressure values for a week, several times during the day (in sitting position after 10 minutes of total relax) and refer those values to your doctor. If your blood pressure values are above the normal ranges (140/90 mm Hg) most of the time, you should discuss with your doctor on the possibility of starting anti-hypertensive therapy. In such case some other tests would be necessary to exclude other secondary causes of high blood pressure: - a chest X ray study - thyroid hormone levels - complete blood count for anemia - blood electrolytes for electrolyte imbalance - kidney and liver function tests - fasting glucose. Anyway, if your blood pressure values are elevated only during anxiety or physical stress, I would not recommend any treatment. Hope to have been helpful! Wishing all the best, Dr. Iliri