Please need help

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I got diagnosed with High blood pressure. The dr of company I work for failed to address it and reffer me to a specialist to get treatment for the last 4 years. Now I get to a cardiologist and he said I have an enlarged vena cava, and my lower right Chamber wall is enlarged from 5 mm to 1.38 cm. He said is a mixture of stress, oxidizing and also being a smoker. My question is how much affected the fact that I didn't have any treatment for 4 years.?how bad it affect my life span and my risk to die early the fact I was not treated for so long. 4 years. Thank you

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