Question: I am 67 years old I had a echo cardiogram done and my heart valves were good my ejection fraction was 55. On the whole when I go to the doctor my blood pressure is good, however recently I have been under a lot of stress, I wake up in the morning with a pressure 118-120/ 70, however during the day my pressure has been any where from 135- 142/ 85. Could you have a good echo cardiogram and ejection fraction rate and still have high blood pressure. Or could stress effect it through out the day? or should it just spike and go back to normal. The reason I am asking I been to a vein specialist to have some surface veins repaired, he notice my blood pressure and mentioned it. So I purchased a blood pressure cup and decided to start checking it, I have not kept a record yet will start tomorrow. But I do believe I recalled my pressure drop last week during the day to 124/75 but can't recall the hour. Could a person have a good ejection rate and valves and have high blood pressure? or could the stress being effecting it so much during the day? I have been taking care of my wife who under went surgery its gotten to me. Or should stress just spike it and then it drop?