Hello and thank you for your question.
You are asking an excellent question. I will try to explain the best I can.
You do have high blood pressure. It is not horribly high to the point where it puts you at a risk for an immediate stroke, however, it is border line high. Medical guidelines and recommendations have changed over the last few years. If before acceptable blood pressure was 140/90 and below, now recommended blood pressure is 120/80 and below. The reason for this is because high blood pressure is called "a silent killer". It causes small changes to your heart arteries, kidney arteries, brain arteries, without you feeling anything, until its too late. High blood pressure can lead to heart failure, heart attack, kidney damage, and stroke.
Since you are only 54 years old and, sounds like, you've had this blood pressure for a couple of years, it would be recommended to lower it. Initially we recommend dietary changes. Not consuming salt is definitely the first step to take. There is also a great diet, which you can learn about, called DASH diet (stands for Dietary Approach to Stop Hypertension). It involves eating chicken, fish, fruits, vegetables, nuts, and other healthy foods.
Since I practice internal medicine and internal medicine is a preventative medicine, I would recommend treatment for your numbers. You would require a very small dose of medication to achieve better numbers. Along with the medication you can continue low salt intake and exercise. This will help to keep your blood pressure medication at a low dose.
I hope you find this information helpful. If you need any clarification or have any additional questions, please let me know and I will be glad to assist you further.
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