A reading of 150/100 for a 34yr old is high, however based on one or two hospital /clinic readings we cannot conclude that you are hypertensive. Would like to know if you have monitored your BP consistently while on medication and also after you stopped medications? Were majority of values more than 130/80 and even more than 140/90 often, when not on medications? Did your echo report mention anything like Left ventricular hypertrophy? If answer to any of these is yes, you probably need medications Whether or not you come off medications depends on few scenarios - if you smoke - quit smoking, if you are over weight or obese - lose weight, if you tend to snore alot at night and feel tired and sleepy during daytime - check for obstructive sleep apnea and get it treated if present. In these cases definitely BP comes down to some extent.