Hi-
At YOUR age, I strongly DOUBT that any of the serious (long-term) damage has taken place--HIGHLY unlikely [usually takes over 10-12, even 15+ years of POOR control: like higher than 180/120 type numbers]. But to answer your question--No, most of the long-term damage is NOT reversible once it takes place: so PREVENTION is the key.
Ideal Numbers: 110-130 (for systolic); and 72-86 (for diastolic--bottom #); THIS is the range you should try to maintain BP at least 70-80% of time; Impossible to do 100% of time [for example--during exercise; sex; emotional upset--everyone's BP shoots over this].
Moderate alcohol: this is fine, as long as you don't exceed 7-8 drinks/week, on average. In fact, several studies have shown benefits [to the heart] of moderate intake of red wines.
You don't need to be scared off by these data--but think of it as a Good "Warning Sign", to take preventive action; and get your BP under control.
[I'm being treated for high BP myself--on meds--and I'm a few years older than you, so I face the same consequences..but I've gotten it under pretty good control within past 6-7 months.]
Good luck.
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(also-you can ask a followup Q, if you need to)
Best Wishes for your Health,
--Dr. Steve
Edited by Dr. Steve on November 12 2006 at 9:59 PM
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Info given herein is general health info, and NOT a substitute for needed M.D. attention