guys,were my readings very dangerous?

[justanumber]

i think most of you here know me and my condition but in case you do not,let me quickly say that i am a 31 year old male and i have problems with high blood pressure,tachycardia,shortness of breath and chest pains. i need to lose a lot of weight and doctors have suggested walking more. today i decided to walk 4 blocks downhill at a slightly fast pace. after 3 blocks,i started to become dizzy and gasping for air and i had a minor headache with tightness in my left arm. i went into a pharmacy that was right there and decided to put my hand into the cuff and measure my vitals. i sat and relaxed and to my shock,my numbers were 218/98 for bp and my pulse was 151. i got worried and took the bus home and by the time i got home,i put on my polar monitor and my heart rate was 164. i was too nervous to measure my bp. i ended my loading up on beta blockers and sitting down for 2 hours. i still felt dizzy and my heart rate was 103 after a lot of atenolol. can anyone here tell me,are my vitals dangerous? can i suffer a stroke? how can i lose weight if i am so exercise intolerant? thanks.

[Mom2four85]

First off; go and get that test your dr wants done to get a clear picture of what's really going on; part of what's wrong may be the reason you're having problems even with simple exertion.

after your health problems are taken care of; then talk to your dr about rehabilitation and programs suited for you and your situation; each of us are different...we don't know what's going on inside - dr's have said you need the one test done and suspect an occlusion right? you don't want to be out walking somewhere and have a heart attack or stroke etc; so trust your dr.

Exercise slowly to begin with when you get it all fixed and don't push yourself too hard; google interval training that may help with starting a new program and set very small goals daily that you can achieve and work your way up to 30-45 minutes daily.  

Losing weight isn't easy; but getting healthy and staying healthy should be your main goal - there are people who are the right weight who aren't "healthy". if you make getting healthy your goal instead of rushing to the number finish line then it'll make it alot more bearable in the mean time.

Most of all - have fun; listen to music; do something that you find you enjoy or get a fitness buddy.  Exercise can also help with depression, anxiety and many other things that ails us =)

[littlegreenman1]

You're exercise intolerant because you don't exercise.
MOVE!
We can't say what is right for you, but you need to move and not let "justthenumbers" give you some malraky reason to quit and give up.

[is_something_wrong]

To sum up:

1. You get chest pain with left arm pain with exercise and rapid heart rate. You also get shortness of breath.

2. You have high blood pressure and high cholesterol. You are overweight.

3. You recently did a stress test which did reveal significant ST depressions at high heart rate (positive test).

Probability of coronary artery disease: Pre test (typical angina): 82%. Test specificity: 90%. Post test probability of CAD: 98%

So, you are very likely to have angina (like your cardiologist did diagnose you with). That doesn't mean that your coronary arteries are necessarily almost completely blocked, you may have relative angina (that your blood supply is too low to do so heavy work as your heart have to, given that you're overweight and that you probably have a somewhat large heart muscle.

You need to get this examined and a calcium score is NOT good enough. To investigate this you need at least a CT angiogram (non-invasive) but you should seriously consider to follow your cardiologist's advice about coronary angiography.

Besides, your blood pressure must be reduced (even if it's not that abnormal during rest) you should NOT have spikes of 220 systolic just by walking 4 blocks downhill (and you did the test AFTER relaxing which means you may easily have been at 240-250 systolic). My BP is 200 systolic with heavy exercise but that's at end stage of stress test with a heart rate far above 200 when I'm close to 15 METs on the bike.

The best way is to reduce your weight. If your BMI is 35, you need to do a serious weight reduction.

You need to do something here, I'm afraid. My best and only advice is to trust your doctors and do what they recommend. You don't want this to happen at age 31 (I'm almost the same age..)