I know you probably won't love this answer but... we don't know. He he. It's just too difficult to diagnose something over the Internet without any medical professionals involved to see you in person. Me, personally, I live somewhere around 80/60, fairly low - low enough to make nurses go, "umm, are you ok?" My relative, though, on the other hand, lives at like 135/90, and that's high but normal for them. I think your best bet would be to visit a physician, preferably one that knows your case, and see what they think and, as always, if you are experiencing chest pain, arm tingling, headaches, or anything acute like that, it might be worth heading to an urgent care or the ER today. Let us know if there's anything besides that we can do to help, and if you would like to read more here is an article about heart issues that can arise with COPD: https://copd.net/basics/conditions/cardiovascular-conditions Keep on keepin' on, DPM