A systolic blood pressure of 160 is high and should be treated. A good internist should be able to help you control your blood pressure. If not, see a cardiologist or nephrologist (kidney specialist). Beta-blockers are not the first line of treatment for essential hypertension-a diuretic and/or ACE inhibitor would be better. If you have coronary artery disease or congestive heart failure, then a beta-blocker would be excellent.