Hello sir, I have white coat and anxiety related hypertension. My blood pressure fluctuates.At my GP s clinic my blood pressure is 120-140/85-95.all my tests are OK including VMA urine analysis. Last year I had AVNRT ablation. Heart rate OK.from last six months, I was not taking any medicine. Recently I went for a follow IP to cardiologist and my BP was 180-194/100-116 on two visits respectively. I asked for 24 hour ABP monitoring. On second visit I was put on ABPM , time was 6:00 pm.bp was 180-100.In result white coat symptoms and nocturnal dip seen.I slept between 11:00pm to 4:00am.in this period bp was 124-136-140/80-85-90. Rest of the readings are from start at 6:00pm - 198/122,180/108,178/90,150/99,154/100,198/92,179/106,178/98,150/90,171/93,156/100,night- 136/81,139/88,124/80,136/90,140/92,woke up at 4:00 am.160/109,163/108,179/110,191/100,154/102,169/91,162/93,140/99,158/97,179/97,170/109,200/98,162/104,185/105,139/90,179/97,163/93,194/92,158/90,147/91,206/94,152/91,147/97,156/98.now from last two days i am taking ciplar l a 20 mg. What is cause of fluctuations. I get nervous. It normal for the bp to fluctuate this much.I have far eye sight +1. 5 and near eyesight +3.5. I when I put specks ,I feel uncomfortable. My vision changes with anxiety. What other test should I go for.plz advise.