Brief Answer:
YES - of course

Detailed Answer:
Hi friend
Welcome to Health Care Magic

Yes – High BP is a risk factor for heart attack
if controlled well, length and quality of life is near normal

You are young and therefor you should be investigated extensively for secondary or curable causes for pressure.
You need ECG /ECHOcardiograpy / Lab tests – Lipids, electrolytes, Kidney function etc. Probably, they could be normal… yet serve as baseline for future reference

Consult a Nephrologist (Kidney specialist) or Cardiologist (Heart specialist) / get yourselves examined and investigated     

Good luck
God bless you

---

Brief Answer:
Changing the drug and/or dose will solve the problem

Detailed Answer:
Hi

The range for the upper figure (Systolic) is 90 to 140 mm Hg.
The range for the lower figure (Diastolic) is 60 to 90 mm Hg.
The aim is to prevent long term complications.
You should aim for 130/80
__________________________________________________

     There are many CLASSES of drugs – Calcium Channel Blocker (CCB)/      Beta- Blocker / Angiotensin Converting Enzyme (ACE) Inhibitor / Diuretic / Angiotensin Receptor Blocker (ARB) / Direct Renin Inhibitor etc.
     There are several drugs in each class.
     Each drug has a dose range.
     Many need more than one drug / different permutation / combination

There is a wide choice indeed – to suit different situations.
There is no single drug for all patients. Each patient is unique and has different needs.
Usually the treating doctor chooses a drug depending on associated conditions, contraindications and so on – as an example: if the heart rate is high, if there is ischemia- a beta blocker is the choice. / If there is heart failure, ACEI (Angiotensin Converting Enzyme (Ace) Inhibitor) or ARB (Angiotensin Receptor Blocker) / In asthma – CCB / and so on, so forth. There are other factors like local availability, affordability, compliance and so on.

Generally, ACEI or ARB (Angiotensin Receptor Blocker) is the usual choice.
If the pressure is not controlled, step up the dose.
If still high, add a second drug.
If poor still, add a third drug

Keep following up with doctor – preferably Internist (MD or DNB - General Medicine).
In case of complication or problem, have second opinion – from Cardiologist or Nephrologist (DM or DNB)

Regards          

---

Brief Answer:
ECG & ECHO

Detailed Answer:
ECG / at times treadmill exercise ECG
Echocardiogram / at times Stress ECHO
Some others like Ambulatory monitoring (Holter) / Stress imaging / Catheterisation etc may be done depending on the results of above tests and the total clinical picture

---

Brief Answer:
Keep following up with your doctor

Detailed Answer:
Good luck
God bless you

---