Hello. Thank you for your question and welcome to HCM. I understand your concern.
The blood pressure should be kept within normal range, i.e. under 140/90 mmHg. Therefore, I recommend you to discuss with your treating cardiologist or internal medicine specialist, to lower your blood pressure. Beta-blockers, calcium channel blockers or angiotensinogen converting enzyme inhibitors would be a reasonable approach, at this moment.
As for the varicous veins, I cannot conclusively say that this pain is caused from this condition. Even if it is a blood clot, it could be accompanied also with coldness and/or
numbness and/or discoloration of the extremity. However, my opinion is that you should undergo an echo Doppler of the leg arteries and/or an angio computed
tomography with contrast, of the blood vessels of the leg. I suggest you to further consult a vascular surgeon, to determine the stage of varicous veins, and plan further treatment, because the strategy of the treatment depends on the stage of this condition. A baby
aspirin a day and quitting
smoking would be warranted at this moment.
I hope I was helpful with my answer. Feel free to ask again.
Best regards,
Dr. Meriton