Hello and thank you for using HCM. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. As you explain, you are 50 years old and you do have heredity for hypertension. According this, I think we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life long. In most cases people with hypertension does not have any symptom but leaving this values untreated slowly modyfies your heart muscle. So, if I was your treating doctor i will recommend a holter pressure monitoring for 24 h, to know your mean values day and night. a cardiac echo to evaluate heart chambers and a fool blood analyse. After having a fool view of the situation we can decide how to treat your hypertension. But my opinion is that you should do this thinks now and not leave them for the future because it is much better if we act and treat hypertension faster in time. Hope I was helpful. Wish you good health. Best regards.