Hello! Welcome and thank you for asking on HCM! I understand your concern, and would explain that her systolic blood pressure is above the normal limits of blood pressure, but we can not start treatment with the blood pressure values of one day. I recommend to closely monitor her blood pressure different times during the day, for a week (usually in sitting position after 10minutes of relaxing). If her blood pressure are above 130/90mm Hg values, a medical check up is necessary by her GP : - a careful physical examination - a resting ECG - a chest x ray study - lab blood tests (complete blood count, fasting glucose, thyroid hormone levels, kidney and liver function tests, blood electrolytes, etc.), to exclude other possible secondary causes of high blood pressure. If her blood pressure are above these values for most of the time you should discuss with her doctor, the possibility of starting an antihypertensive therapy ( a diuretic or an ACE inhibitor/ARB class are recommended). Hope to have been of help! Feel free to ask any other questions, whenever you need! Best regards, Dr. Iliri