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Profile picture for Wala @ashlynnmae

What’s happening is that these symptoms are not coming from high blood pressure. A reading around 116/83 is normal and hypertension causes damage only when blood pressure stays high over time WITHOUT treatment.
The chest pain you are describing fits anxiety, not heart disease or a blood pressure issue. Anxiety related chest pain is dull, tight, or aching, it can linger, it feels very real and frightening, and it does not line up with blood pressure readings.
The blind spot is also not a sign of blood pressure damage. Eye damage from hypertension happens with long term uncontrolled high blood pressure and causes persistent vision loss, not blind spots you only see sometimes. This sounds more like a visual aura, eye strain, or anxiety related visual processing changes.
Your blood pressure is controlled, your symptoms do not match hypertensive complications, and your emergency room evaluation ruled out heart related causes. Changing blood pressure medications would not help anxiety or migraine type symptoms, which is why you do not need an adjustment on your blood pressure medication when the numbers are already good.
Bottom line, you are not damaging your heart or organs. Your blood pressure is doing what it is supposed to do. The symptoms are real but they are not being caused by hypertension. Anxiety can convincingly mimic heart and vision symptoms.
Waiting for your doctor’s/NP's response is reasonable, but based on everything you have shared, there is no sign of missed hypertension danger. Continue taking amlodipine daily, use propranolol as needed, and focus on decompressing.

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Replies to "What’s happening is that these symptoms are not coming from high blood pressure. A reading around..."

@ashlynnmae

Can I ask for more clarification on the vision disturbances that come with hypertension? It wouldn't just be a blind spot, right? Let alone one I don't always notice? Would it be more like losing my entire ability slowly over time with elevated readings? Would infrequent high readings contribute to this? Or only consistent ones?