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Detailed Answer:
Hi dear,
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Blood pressure has been classified into five categories according to JACC.

Normal blood pressure < 120/80 mmhg
pre-hypertensive stage is 120-139/80-89 mmhg
grade 1 (mild ) is 140-159/90-99 mmhg
grade 2 (moderate ) is 160-179/100-109 mmhg
above that range, is severe hypertension.

As age progresses the blood vessels loses their elasticity due to age related changes and atherosclerosis(fat deposition ), hence blood pressure increases with age and it's natural .

At age more then 40 years, our target blood pressure is 140/90mmhg.
Less than 120/80mmhg is said normal in a young adult but in elderly person the target BP is less then 140/90mmhg.

Your systolic BP varies between 170-190 and diastolic varies between 92-99mm of hg .

So, as per the guidelines of JACC , your maximum blood pressure reading 190 systolic and 99 diastolic comes under Severe systolic and Moderate Diastolic hypertension(in respect to criteria laid down for young person).

I would advice you to consult your cardiologist and to start taking Amlodipine 5mg twice daily along with a ace inhibitor like Ramipril or enalapril. There's a need to Stop Nifedipine as it causes reflex tachycardia and may precipitate angina.

Tests advised--

Fasting lipid profile
2D echo- To see the effect of hypertension on heart.

Apart from the medicines some general life style changes to be followed are -

Do 30 minutes of exercise at least 6 days a week.
Use salt restricted diet 2500mg of sodium per day.
Add lots of fibers to your diet.
Avoid oily and fatty food, don't take butter, peanut oil instead eat oats ,and use rice XXXXXXX oil or olive oil.
Avoid red meat and egg yolk.

Please follow these for at least 3 months, keep a record of your blood pressure every 3rd day.

In case you need more clarification or you have any more query , feel free to ask!

Thanks
Dr Rishu Saxena
Cardiologist

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Brief Answer:
Follow up answer.

Detailed Answer:
Hello again,

Yes lifting weight is a strenuous exercise and should be done at least 20 minutes a day for at least 5 days a week and if possible treadmill should be done every day for 10 minutes.

In case you have any other query feel free to ask.

Thanks.

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