my blood pressure has been steadily between 155 over 90 to more recently  146 over 101 .  I am 29 years old and fairly active , 5ft 11in aprox 195lb  athletic build  not obese ,  how concerned should i be ?  My family says that it is bad but i feel fine .
Hello and thank you for using Chat Doctor. I carefully read you question, and I understand your concern. I will try to explain you something and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups, essential hypertension without identifiable cause and secondary hypertension, meaning that is a secondary cause of it. Secondary hypertension is the main cause in young age hypertension. It might have different reasons like problems with renal arteries, a Chat Doctor. Values above 140/90 mmHg might be normal in young ages in a physical or emotional stress but not in steady states. High blood pressure might not give any complain, but it slowly modifies the heart if it stays untreated. If you have evaluated several high values in a steady state that i think it is reasonable to make some examinations. If I was you treating doctor I will recommend a cardiac echo, a blood pressure monitoring for 24 h, a full blood check up analyze, your urinary catecholamine, an abdominal echo. After these we can judge what other things to do and how to m\u00e9nage this situation. Hope I was helpful. Best regards.