If hypertension runs in the family, like mine, the possibility of it causing problems is there. I'm pretty healthy, though I've been eating junk food as meals as of late, my hr/bp are consistently at normal levels at rest. Exercise is great and it even helps keep your mood and spirits higher.
I'm only one example, but considering the above and the fact that I abused the crap out of mdma, I'm just glad that it didn't bring out the hypertension. I'm also kind of a heavy cig smoker and an insomniac to boot. I'm probably lucky, and/or my efforts at countering the damage I know I do has been working. Either way, I won't be testing my luck again.
However, specifically to the OP, those numbers are pretty sky high. If it's consistently at those levels, medication will eventually be necessary. Exercise and less intake of sodium should do wonders, as well as reducing stress. You will only be able to safely roll once you get your numbers down by a lot.