In addition to your current medications, focus on lifestyle modifications. Follow a low-salt, low-carbohydrate, and calorie-controlled diet, and engage in at least 30 minutes of brisk walking or aerobic exercise daily. Maintaining a healthy weight, practicing good sleep hygiene, and managing stress are also important. Regularly monitor your blood pressure, fasting/post-meal blood glucose levels, and body weight. Routine follow-up with your doctor to adjust treatment and screen for complications (kidney, heart, eyes, and cholesterol) will help improve long-term control.

A blood pressure (BP) of 160/90 mmHg with a heart rate of 130 bpm is concerning and may indicate uncontrolled hypertension or possible tachycardia. Sit or lie down in a calm environment and recheck your BP and pulse after 20–30 minutes. If your BP or heart rate remains high, or if you develop any unusual symptoms, seek urgent medical attention. Your doctor may need to adjust your antihypertensive regimen or add additional medication to specifically address the high heart rate and optimize overall blood pressure control.

Early symptoms of a heart attack may include chest pain or pressure, discomfort in the arm, neck, jaw, or back, shortness of breath, nausea, and sweating. Early signs of a stroke include the sudden onset of facial drooping, weakness or numbness in one arm or leg, and speech difficulties, such as slurred speech or inability to speak. Prompt recognition of these signs and immediate medical attention are crucial to minimize heart or brain damage and improve recovery.

You should consult a doctor or cardiologist as soon as possible, because irregular heartbeats with high blood pressure may indicate a heart problem, such as a cardiac arrhythmia, which may require tests like an ECG. If you experience symptoms such as chest pain, shortness of breath, or fainting, call emergency services immediately. Continue taking any prescribed blood pressure medication and avoid caffeine or stimulants until your doctor evaluates you.