Thanks for your query.
Your BP appear to be normal ,as white collar hypertension
is known entity ( BP high in doctor chamber.)As you have family history of heart disease
,and your age is 61 ,so there is no harm in going for TMT or echo to rule out early onset or sub-clinical disease..Speed varies from patient to patient and his tolerance ,generally no medicine is required ,in some cases medicine may be needed.
‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery”