My relative(50years) have hypertension since 8years, yesterday he undergone 2d echo and ecg His BP while ecg and echo was 200/100mmhg and he is suffering from whitecoat effect in hospital his bp shoots up to high while at home after taking tablets his bp is always less than 135/85mmhg and he gained 2kg weight since 2 months. he never had heart attack till now and also no symptoms Ecg report says - q wave inferior leads, sinus tachycardia Echo report says IVS - 16mm PWD-15mm EF - 60% EVD -70ml Mitral valve thickened and grade 2 MR + 2jets Concentric LVH+ GRADE 1 LVDD no effusion, no clots No RWMA Normal LV systolic function (LVEF-60%) All others are normal Doctor suggested he had systemic hypertension and gave BLOOD PRESSURE tablets  and told nothing Please evaluate reports and provide suggestions for further consultation and how to deal with whitecoat effect. Is anything serious