Hello! Thank you for asking on HCM! Regarding your concern I would explain you that several factors characterizing your actual clinical status, may explain your elevated BP. First, possible anemia, with resulting hypervolemia exacerbate tachycardia and high BP. Secondly, you should check your renal function as not rarely becomes compromised by the primary disease and trigger high BP. Also, your hypercatabolic state is associated with some pro-inflammatory mediators that do influence high BP. You hyper-adrenergic state also contributes on that issue, too. And so on. Hope to have been helpful to you. Greetings!