<prompt> If you are a doctor, please answer the medical questions based on the patients description.How high should blood pressure be before medical attention is sought? My last readings from the past couple of hours are as follows.180118198125186123203115192112 I would think that these nimbers were a fluke, so I would check on my other arm and they were still elevated. I dont have insurance so until it gets dangerous and I am almost dead, I dont like to go to the ER. We are poor folk.  <response>: Hello, Thank you for your query. These are very dangerous levels. Please go to the ER right away. Your vital organs, heart, lung, kidneys can suffer severe damage to this continues. Risk of bleeding is high too I recommend :-a physician consult right away, cardiologist opinion -electrocardiogram and echocardiogram. -blood tests complete blood count, Thyroid stimulating hormone, kidney and liver function tests, clotting profile -medication to lower blood pressure. Based on this investigation, we can rule out an ongoing heart attack. Further, testsinvestigation depending on clinical findings. Please see a doctor right away. Hope you feel better. Please let me know if there is anything else I can help you with. Wish you good health 