Of course, I fully agree with Dr. Touhey and the comments about blood pressure control. With regard to the presented figures, if the Question was written hurriedly the writer may have been attempting to write 120/90, though if so a normal blood pressure would be less than 120/80, therefore 120/90 would represent "pre-hypertension". For this blood pressure, repeated readings at other times should be performed to establish the this is the average blood pressure. Some blood pressures are recorded higher in the doctor's office, so-called "white coat hypertension" but may be normal if taken by the patient at home. At this level 120/90, patients may benefit from weight loss if overweight and reducing salt intake if excessively consumed.

The other possibility was that the writer of the question misunderstood which number was systolic (upper number) and which was the diastolic (lower number) and that instead of 120/190, the blood pressure reading was actually 190/120. This would represent High Blood Pressure Stage 2, a potentially most serious level of blood pressure. In this case, if found to be consistently elevated to this degree, prompt drug therapy would be indicated with careful blood pressure follow-up. If the patient doesn't respond to multi-drug therapy attention should be given to specific medical causes for the high blood pressure in contrast to the more common "essential hypertension" which most patients with hypertension have and no specific pathologic conditions are found which cause the elevated blood pressure. ..Maurice.