TA is a 58 year old male. He reports to the emergency room after being seen at the his primary care physician's clinic. His blood pressure upon entering the emergency room is 200/130 mm Hg and he has shortness of breath (SOB) with a headache. He has a past medical history of hypertension x 5 years. He denies smoking and illicit drug use. He rarely drinks alcohol. His medications are the following: Lisinopril 20 mg QD, HCTZ 25 mg QD. His labs are all within normal limits.
How would you characterize his hypertension and what is the goal blood pressure?