Dear Pam,
It is hard to give you a diagnosis over the internet but I will offer you some opinion that might be off help.
A heart rate of 178-199 along with severely elevated blood pressures certainly would not be asymptomatic. I am sure you or the patient in question certainly had symptoms associated with it.
These numbers are certainly pretty abnormal and deserve urgent medical attention to establish a cause and rapid treatment.
Hope that answers your question.
CCFHeartMD19
Seek medical treatment & get checked out ASAP.