High pressure 145, low pressure 80, do you need to take medication?

High pressure 145mmHg low pressure 80mmHg, if it is a newly diagnosed patient can be temporarily without medication, if the blood pressure level continues to rise, or the combination of complications need to be in the control of lifestyle based on medication. 1. For newly diagnosed hypertensive patients, lifestyle modification can be given temporarily to strengthen physical exercise and diet control, and some patients can get their blood pressure under control without taking medication. 2. For patients whose blood pressure cannot be lowered to normal after lifestyle adjustment, appropriate oral medication is needed to ensure stable blood pressure. 3. Blood pressure of 145/80mmHg belongs to hypertension class 1. For patients with hypertension combined with cardiovascular, cerebrovascular or renal diseases, they belong to high-risk patients, and according to the guidelines for the prevention and treatment of hypertension, they need to take oral antihypertensive medication to control their blood pressure level within the normal range and to reduce the damage of target organs. Hypertensive patients are stratified by risk factors. Patients at low to medium risk can be given lifestyle control, while those at high risk are given immediate treatment. If there is any discomfort, it is recommended to go to the hospital for timely treatment.