An update; had a surgeon consult a few days ago, He feels that I should be on a beta blocker, look at surgery for the aortic aneurysm at 5.0cm. He was concerned with the continued mild chest pain and was thinking that a heart cath. would be a good way to go. He was going to discuss this with my cardo, as he pointed out all decisions are between me, the cardio and the surgeon. So I am waiting. Anyway, at work today out of the blue, my pulse jumped to 109 and stayed between 104-109 for about 3 and a half hours. I am back down to 86. This is still high for me as I seem to be in the 68-70 range. Is this something that I need to get addressd now (tonight) or something to call into the cardio tomorrow? any thoughts.