I am a 51 years old male. Whenever I have had my BP checked, it has always come out normal i.e. Very close to 120/80. I went for a 7 day trek more than a month back. It was strenuous but I was able to complete it. We climbed several mountains with an average of 10 Kms per day. When I came back I had visited a General Physician for a cold. At that time he checked my BP and it was 160/90. That got me worried. Subsequently, I have been checking my BP at home and it comes around 140/92 on average. Many times, the systolic BP is even as low as 128-133 but the diastolic is always around 90. I visited a cardiologist - who took my ECG, Echo and had me do a Stress Treadmill test. The reports all came out normal. I then visited another cardiologist and when I was at his place my BP was again around 160/90 and he has prescribed some angiotensin BP medications. I also had a blood test done. Results are as follows: Thyroid - normal, Sugar levels - Normal, HBA1C - borderline, Electrolytes - normal, Kidney function test - normal, Total Cholesterol - High. Around 218 mg/dL, HDL - 32.6 mg/dL, LDL - 160 mg/dL, VLDL - 26 mg/dL, Vitamin D - 27.7 ng/mL, Vit B12 - 470 pg/mL. I am reasonably fit. I smoke around 2-4 cigarettes per day and had started vaping cigarettes liquids from about 1.5 months back to cut down on cigarettes. I am on depression medication - Escitalopram 10 mg per day. I am high strung and anxious person and have had anxiety issues and such events traumatize me (i.e. Detection of high BP). I am not sure if the high BP is (a) genuine (b) a cause for worry (c) what the long term prognosis is (d) should I take medication (e) is the high BP causing me anxiety or my anxiety which has surfaced since the detection of high BP causing a sustained higher than normal BP I am stressed due to this and do not know what to do. Please advise.