I've been keeping an eye on my blood pressure and it was pretty high last year, like 140 over 90, which led to an echo test. They found lvh at 13mm, and lately, my blood pressure has been settling around 128130 over 85. I'm not on any medication right now. Should I be considering starting on blood pressure meds given these details?

Based on your current blood pressure readings and the presence of left ventricular hypertrophy (LVH) on your echo report, it is advisable to start blood pressure medication to help maintain your blood pressure within a healthy range and reduce the strain on your heart. I recommend starting with a medication like Losartan (50mg once daily) to help lower your blood pressure and protect your heart from further damage. It is important to monitor your blood pressure regularly and follow up with your healthcare provider for further guidance.