Dear Patient, Thank you very much for your question. Your blood pressure 144/109 is absolutely high because arterial hypertension starts from BP over 140/90. However, many factors affect blood pressure include diet, medication, physical fitness, stress or excitement are some of them. By reaching once your BP 144/109 noone can say that you have hypertension because your condition can be situational; stress or excitement , heavy physical exercises can really elevate your blood pressure and above mentioned symptoms seem to be related to your high BP. Your Body mass index is 21.7 and that is absolutely within the normal range which means you weight is normal for your height. However, my recommendation is monitor your blood pressure for a week and if it remains as same consult your family physician. If you are stressed, try to reduce your stress level by doing meditation or breathing exercises. If you are a smoker, quit smoking because smoking has a great negative impact on blood pressure. Also visiting your family physician is madatory if you remain with same above mentioned symptoms and persistently high blood pressure. Your family doctor may ask you to do an ECG test if he or she finds it is necessary. Also he or she will go for further testing if they are required. Therefore, check your BP for a week and if symptoms remain same visit your family doctor. Also If you find your symptoms becoming worse, then do not waste your time. See your family physician immediately. Hope I answered your question. Good Luck! Dr. Dinesh Nuwan Weerasinghe. MD