I cannot understand
how, even by VA medical standards,
a person taking beta blockers, who has
a pacemaker keeping the heart rate under 40bpm, who has uncontrolled Afib, unstable angina, as well as severe aortic stenosis, could possibly NOT be under the very watchful care of a cardiologist.
In terms of decent medical practice, this makes no sense, for this collection of findings indicates serious cardiovascular disease *as well as* treatment currently under way.