52 year old male, 212 pounds, 6 foot 1, run 25-40 miles per week, completed 53 marathons and set to run another Sep 25, had blood pressure reading today of 142/69, pulse 64.  Should I be worried about the 142 part of the blood pressure reading.  I know that 69 is in the normal range.
First make sure the blood pressure is accurate:1) rested. Most people the 64 means it's rested in you. Probably NOT.2) NOT taking/moving during the taking of the blood pressure; it throws off the reading, and it gets artificially high on the top number.3) might want to take it lying down. When I was 20 I had a worse reading when demonstrating how to take a blood pressure reading in front of the medical school class (nerves). Lying down and taken correctly it was 126/82.