I could have written this aged 44 (I am 57 now). I went in for a regular BUPA check and it was 150/100. Was told to get a monitor (which I did same afternoon) and by 9pm I was in A & E with blood pressure of 230/150, and they were concerned I was having a stroke. All grandparents dead aged 50-70 (BP related) and parents with raised BP. I felt absolutely fine. I was put on Amlodipine, Ramipril and Bendroflumiziade instantly, and over time investigated thoroughly and have been through many different hypertension drugs (I am now on 4, Doxasozin, Indapamide, Bisoporol and Losartan) and I have "unexplained blood pressure" which can range from really high to really low 90/50. Main issues that cause it: weight, salt (this absolutely batters your BP), stress, genetics, alcohol and smoking, exercise, and finally, not taking tablets for it if you have got it. After saying all of that, you are not instantly going to have a stroke or heart attack (i hope!), so please don't frighten yourself - but you do need to do something over the coming weeks. First of all, make an appointment for the docs - then get a monitor, take recordings 3 times a day (when you first get up, lunchtime and evening before bed) and write them down (take a couple of readings per time, although they might not vary much). When you go to the docs, take it with you (so you and they can calibrate your machine) and your records. If it is higher than they like, they will put you on a 24 hour monitor, and then take things from there. If you are overweight, just 5lbs off can lower it, more weight loss can put some people in the zone that you don't need to take tablets (but weight isn't always the thing). From all my dealings with medical people, salt was just a NO. They told me not to even have lo-salt because your palate does not change (i.e. you still crave salty things). Finally, worrying about it won't help (but sort of will, because it will spur you on to act on it), I know that is easy to say, but you have got this in your eyesight now, and just need to take practical steps to improve things. Hope you will be OK, do PM me if you want a bit of a handhold xxx