<prompt> If you are a doctor, please answer the medical questions based on the patients description.My BP varies between 12060 to 15070 - there is a huge gap of over 60 mm between the diastolic and systolic levels - is that a cause for concern? is there any treatment available or recommended for that? PS - I am a case of bicuspid valve aerotic as I am told Rajender  <response>: Hi, The problem with the bicuspid aortic valve is generally there is thickening of the valve stenosis or leaking Regurgitation. If there is a very large difference between systolic and diastolic BP upper and lower BP it generally denotes leaking valve. So I suggest you get Echo done every 6 months. It is very important for a patient with a bicuspid valve. Further management will depend on the report of the echo. Hope I have answered your query. Let me know if I can assist you further. 