I am talking about systolic of 190 dropping to 150 in 40 minutes.
My diastolic changed from 90 to 80 during the same time frame...
using different arms, and waiting for the blood vessels to recover.

I've been telling my doctor about this for years and she never believed me. I don't show signs of HBP in the eyes or elsewhere.
I take my pressures at home. Sometimes my diastolic goes down to 70 ! But my systolic is averaging 140-150 on good days.

I've been tested for pheochromocytoma, and I don't have that. I am just highly reactive..emotionally. I take my meds well, and am very compliant. I've been hypertensive since a severe systemic staph infection from a black fly bite in Maine 30 yrs ago. I was very ill with that, and barely missed a brain abscess. (I was on vacation there). I recovered, but was left with hypertension afterwards. The doctors there told me if I hadn't driven to the nearest hospital when I did, I would have died 12 hrs later. The black fly crawled under my sunglasses and bit me on the eyelid. I had a 103 fever the next day!

Interesting you mention that. The last time I had my eyes checked, the optometrist asked me if I had HBP. I don't, but the discussion ensued, he looked again, and advised me I have an anomaly that looks like the result of HBP. He's seen it before, and it's not a problem - just a coincidence - but now when neurologists, etc. take a peak and pause, I know why and there's a short discussion about the anomaly. (shrug)

Doc

I know a person who had weird eye exams... scars from histoplasmosis in the past was the tentative diagnosis!

your non dominant arm averages 10 points lower on blood pressure than your dominant arm.

Thank you for the help. Sorry I didn't get back sooner. My computer takes vacations.

What if you are ambidextrious?
(not being a smart a*s-seriously. I'm 'ambi')

I have to go back tomorrow for all my test results!

Blech... I have lumps in my neck! (very scary), mammogram, and umpty ump blood work. But I will be getting my Vit D and B12 results which should be interesting.

Probably going to have to start the dreaded metformin again!

Hope everything comes out ok