Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should start antihypertensive drug in his case. His blood pressure readings are suggestive of hypertension and he is also having strong family history of hypertension, so no need for wait to start antihypertensive drug. In young age, angiotensin receptor blocker (ARB) are the treatment of choice. ARB includes telmisartan, losartan etc. Better to consult cardiologist for this. Because in hypertension, we should rule out systemic involvement like kidney, heart, retina etc. So he will need kidney function test, ecg, 2d echo and retinal examination. So consult cardiologist and discuss all these. In bangalore, Columbia Asia hospital is having good cardiology department. So consult there. Hope I have solved your query. I will be happy to help you further. Wishing good health to your fiance. Thanks.