Blood pressure is 146 over 80 and pulse 100 that bad?

Yes, a blood pressure of 146/80 and a pulse of 100 is considered high and could be a sign of an underlying medical condition. Hypertension (high blood pressure) and tachycardia (fast heart rate) can both increase your risk of heart disease, stroke, and other serious health problems. It is important to see a doctor as soon as possible to evaluate your blood pressure and pulse and determine the best course of treatment.