<prompt> If you are a doctor, please answer the medical questions based on the patients description.12 day average BP has been 13198 with a 78 heart rate. Checked with a very good in- home arm cuff device? I am a physical active African American male, 48 years old. 5 foot 9 and weight 202. I average 3-4 workouts a week; mainly cycling for 45 minutes at very vigorous pace and also light weights workout etc. I eat relatively well, dont smoke, and might have 2 drinks once or twice a week. Am i in danger here???  <response>: Hello. Thank you for your question. Welcome to Chat Doctor. I carefully read your query. I will start my answer, by clearing the normal blood pressure figures: systolic 100-139 mmHg and diastolic 60-89 mmHg. It happens in vigorously trained athletes that these figures go up on various periods during day. Given your age 45 years of age you are in risk for high blood pressure hypertension and cardiovascular events. I am not saying that this is a reason to worry, per se, but this is standard for all male population of the world. Therefore, I would suggest you run some tests. First, I recommend you to be put on a 24-hour blood pressure monitor, to determine if there is hypertension or not. If yes, proper treatment should be instituted. At this point, I would also recommend that you restrict salt intake to a minimum and restrict your Chat Doctor. Also, I would recommend you run some blood tests: urea, creatinine, AST, ALT, electrolytes, total cholesterol, LDL fraction and triglyceride. After we have test results back, we can discuss further measures in treatment. I hope I was helpful. Take care. 