My mom just got out the hospital after being brought in for heart attack like symptoms (severe chest pain, arm numbness). She previously was on metoprolol
100mg twice daily, hydrochlorothiazide 25mg daily, fish oil, baby aspirin and lipitor 40mg daily. The ambulance/er gave her nitro x2 doses, baby aspirin, and enalapril. She was admitted to the cardiac unit the same day. Her bp had significantly spiked, noticable up to 184/126 at one point.