hi---57 year old male, bp 164 over 86. numerous measurements, all generally at least in the 150's over 80's. Pulse average 65. 6 ft 1 inch, 205 lb, decent shape. Did a stress test about 4 years ago, BP went down while I was doing test to 128/80, finished test, also had ultra sound on heart (had been having chest pains as well as the high BP). Doc said all clear and pains were from working out. Blood work done a year ago, it was all A1.

How concerned should i be?