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More low HR and High B/P
So I am a fifty yr old man with Syndrome X. My sugars stay well under 150 but my lipid profile is horrid and I have had a heart attack and treble bypass with excellent recovery despite the loss of nearly half the heart muscle function. Good fitness before and after has allowed me to live relatively normaly until recently. I have noticed over the last yr an increase in my morning B/P from 120/70 to 150+/90+ with a HR that has dipped down as low as 35 BPM ! this has begun to make me feel ill and tired but not have any heart distress symptoms like angina. I should add I have atrial fibrillation since the bypass. My question is since I am no longer covered by my former insurance and my preexisting conditions make obtaining any almost a pipe dream. What would be suggested to get to a cardiologist and get answers in as few visits as possible. I am willing to pay what I can up front as I still make a good living and can continue to pay for treatment up to a point. I should add I have been on a bare minimum of meds, Atenolol, Glypizide, Clonazepam only and see it as beneficial to stay off further meds unless I drastically decline in my health, which may be occuring now. Is it possible to become resistant to atenolol? Can it lower pulse without lowering B/P? what alternative B/P meds are currently in vogue?
I truly feel I may simply have a med problem as I still suprise much younger folks at my ability and physical conditioning despite that I am getting much more tired after exertion than even a year ago.
I should add I live a somewhat stressfull life (hence the Klonopin) but am vastly blessed with a beautifull family to live for. I also apologize for kind of belching my **** all over the post but I have not had a soul to discuss this with and it is becoming bothersome and I do not want to worry my family over my health any further. I hope that ya''l can make sense of what I am asking and give me a direction as right now I am feeling quite alone in my illness and concerned it may continue to progress without some sort of intervention, I believe, in my cardiac meds. Some information from others with similar conditions would be most appreciated.  
JIm


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i am 61 and in good shape, even though my pulse rate has always been low(50's) it has recently gone to lower 40's at the same time my blood pressure has been increasing from 130/75 to140/87- i can't find an explanation
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You need a cardiologist. It might cost a lot now, but complications will cost you more than you can afford! You must lower your blood pressure (ace inhibitors and diuretics), and decrease your use of beta blockers until your heart rate normalizes. Don't start this without talking to a cardiologist; you  need follow up!
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