Blood Pressure Meds

There seems to be a new look at blood pressure in recent years and the medical establishment is talking seriously about lowering the two upper limits for systolic and diastolic pressures. Or, so I recall seeing and reading just a couple of weeks ago. Your cited numbers are a bit on the high side even with the older limits, although only your systolic pressure is high.
I don't have any information about your heart's condition. Is the right ventricle enlarged, is it infused with collagen deposits and stiffened some... Maybe your slightly high systolic pressure is worrisome to your prescribing physician, but due to a condition you and I are not aware of, and he/she wants to keep a lid on the systolic pressure to preserve function. This is just me guessing of possibilities. Really, this is something to put to your doctor.

Are you using numbers from doctor office or at home? Mine are consistently lower at home or at the doctor’s office, if I don’t rush, relax and have it taken properly by the nurse. It does make s difference. I sometimes ask them to retake it after I settle down for the appointment.

I have the same questions you do as a result of a drop in my EGFR, which measures kidney function. My EGFR went from 100ish to 80ish, if I remember correctly, over the span of a few months. Anyway, when I called my PA/PCP to ask about it, she didn't seem surprised and pointed to my "high blood pressure" ... which I thought was controlled by medication. She knows my numbers and my medication. My BP peaks at mid 130's over high 80's in the afternoons. My takeaway is that even "controlled" BP may cause damage over years/decades, and lower is better (to a point). BTW, turns out my EGFR was probably dehydration, but it does seem to be trending lower over time. My cardiologist was completely unconcerned when I told him my numbers, but not sure he cares about longevity/optimization, at least that is my read of his outlook.

I think @gloaming has it right.

Doctor's office are always higher. My favorite PA for years said I had white coat syndrome, lol, and he always took my BP at least twice. He retired a few years ago so I've tried two different doctors. My gut feeling, because of side effects, tells me as long as I can keep my bp within 125-130ish/80 is better than having new BP meds "added" to what I'm already
taking. The last two years my visits to a doctor have been because of an insect bite that caused a reaction not something I dealt with before, covid, UTI and bad reaction to an antibiotic. Probably reasons why my BP was higher at the time.

That’s ridiculous to put you on high blood pressure meds… Is your blood pressure that you mentioned taken at home or at the doctors office? I know every time I go for a doctor appointment my top blood pressure number is high range. Anywhere from 150 one time is 170 but at home it’s a lot lower. I had a hernia operation about 10 years ago and before the operation my top number would average 130 after the operation my average drop down to 117.
I’ve never really had what I high blood pressure. I am just the opposite. I have low blood pressure because of my recent heart attack while I was in the hospital the top number at one point drop down into the 70s that’s when I really felt lightheaded and felt like I was gonna pass out. Sorry but I can never remember what the other two numbers are.
But I think everybody’s different. I don’t know if you have any other health issues that might cause them to put you on blood pressure pills, but to me the numbers look fine. I know a lot of the doctors they just wanna keep pushing those meds pushing the meds three months after the heart attack. I am taking five different meds and I believe I’m getting side effects from some of them, but it’s hard to pinpoint which ones.