Hello, Thank you for your question. I will try my best to help you with your questions. I need to ask few questions before first.

Q... You have any other medical issues ?

Q... Are you taking some medicine ?

Q... Any recent tests done ?

Are you taking some medicine ?

Well, your blood pressure has some issues.

Was this one reading or these are multiple readings ?

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I will give you some suggestions on your blood pressure

First we need to make sure that there are multiple reading of same results.

One reading is not fit for comments.

Your pulse pressure is very high.

it is around 75

it can be caused by

stiffness of the aorta, the largest artery in the body. The stiffness may be due to high blood pressure or fatty deposits on the walls of the arteries

It can be due to aortic valve regurgitation

other causes are severe iron deficiency (anemia) and overactive thyroid (hyperthyroidism)

As you had a heart transplant so most important things we need to rule out are aortic valve problems and atherosclerosis.

I would recommend an echocardiogram to see the aortic valve.

Also it is class 1 indication for a person with heart transplant to have yearly angiogram to see the coronary arteries for narrowing.

Another issue is that your systolic blood pressure is in the initial stage of high blood pressure.

So it needs to be lowered. High blood pressure can have a negative impact on the transplanted heart.

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