If you've got hypertension, you've got high blood pressure, and you're likely to be on medication to bring it down to a safe level.
Hyper- is a prefix that means "over" or "beyond" — if you're hyper you're wildly energetic. Tension means "stretching" or "straining." Hypertension, therefore, means "straining beyond." With hypertension, your blood pressure is abnormally high, causing a strain on your blood vessels. This condition can result in serious health problems, such as heart attack and stroke.