About three years ago after my bypass surgery my blood pressure was pretty much the same as yours. I was on ace inhibitors (Ramipril) of which was a daily dose each morning. My Doctor split the dose, and I took half in the morning and half early evening. This seemed to do the trick.
Yes, I'm working on it more now, but my results have been jumping around a lot. Recently my AM bp has been 116/75 and this AM 124/77 but later in the day and early eve I've had readings of 159/93 and 145/88 so I am unsure what that means.
Personally I seen no real concerns with your echo results apart from what could be caused by hypertension. Have you just recently been trying to get your blood pressure down?