Can high BP with migraine cause stroke?

Hello doctor,

I am 42 years old, single parent with two kids aged 15 and 10 years old. The last 19 years, I have had several stress related (in my view) ailments. My history is I got erratic bowel syndrome 19 years back, corrected now. Polycystic ovaries, corrected now (was on Metformin for one year.). I get severe migraines twice a week that lasted two to three days. Corrected now. Hyperthyroidism which got over-corrected to hypothyroidism and therefore medication was stopped (was on Eltroxin 0.25 mcg). I was diagnosed with BP issues and chest pain 7 years back. I was on Lonzaep for anxiety and Prothiaden 50 mg a day. ATEN 25 mg for BP. Had a D&C for continuous periods- Biopsy was clear. ATEN was stopped and Nebistar 5 mg once a day was initiated by my cardiologist along with 20 mg Telmisartan. I was also diagnosed with arterial stiffness (Persiscope Cardiovascular Analysis report enclosed). I experienced alopecia and lost almost all my hair. I got it back after treatment. The cardiologist increased Telma to twice daily (20 mg) along with Nebistar 5 mg, recently. My concerns and questions are given. The BP continues to fluctuate going as high as 170/110 mmHg and then dropping very suddenly to very low. BP rises typically in the evenings, while it is very low at night (I understand that this is the case naturally). While I understand the concept of BP fluctuating all day, and looking at the average, I am worried that when it is very low, I am probably aggravating the situation by taking a medicine to low it further. ABP reports taken all these years are enclosed. When the BP is high (mostly) I have chest discomfort and pain in the chest for three to four days and then subsides on its own. I am concerned that my arteries are inflamed. Please see reports on High Sensitivity C-Reactive protein. When I had continuous migraine and chest pain I went in for a coronary angio and a brain MRI- reports enclosed (Acute ischemic foci- Is there a correlation)? My cardiologist was concerned about my echo tests and the BP shooting up very quickly during the stress test. Can you explain what the test implies and the connection between the inflammation and these tests results? My stress levels overall are definitely better, I am consulting a psychotherapist for the last three years, practicing yoga, however the BP seems to have shot up again the last few weeks. Is it because of the extreme winters? I am undergoing a stressful situation at the moment. On the whole, I would like to know: If I am at risk of a stroke? If yes, what is the probability? Is there inflammation? If so how bad is it? How can I control or reverse it? Why does the chest pain persist? The pain is usually followed along with high BP when I particularly have a heavy session in Psychotherapy or overthink some issues. What do I do when the BP reaches dangerous levels like 170/110 mmHg? Are there any drugs that I should avoid? What are the safe supplements that I can have for magnesium? I am taking Omega 3 supplements. Are there any follow on tests and medications that you recommend? I got a full health check done four months back and kidney tumors, etc., have been ruled out. Happy to share additional reports in case needed.

Hi doctor,

Thanks for your reply. My BMI is 21.2, height is 5'1 " and weight is 119 pounds. Reports on Echo, recent BP readings and blood reports contain LDL and C reactive protein are enclosed.