Mike,
Im 42 and recently been put on Ramipril 2.5mg (quite low dosage). Always get high readings when I go to doc ( over 150/100). Had all tests done – ambulatory, ECG, Stressed ECG, Cardio Echogram,
At home i can now get readings 125/75 when chilled. Drugs do help. Im fit & healthy, don’t smoke or drink. Docs advised me to try and keep my upper reading below 130. So at present on drugs and monitoring it. May be for life,, who knows.
Specialist said its not for next 5 years, but for 30 years time. I exercise normally and push myself quite hard with no ill affects. At least I had peace of mind of loads of heart tests, which might be worth getting done for peace of mind. I need to reduce my coffee intake too!! Good luck