### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi doctor, im 47 yrs old, 5 feet tall and right now im taking atenolol 25 mg everyday, and i have questions for you regarding on my attack , its on and off basically, it started my cold feet and cold hands, bp gets high,and sometimes i get a high reading on my pulse rate too, and i am scared that i will get a heart attack if i feel that way, is it possible doctor? and one more thing, if youre under that atenolol drugs, can you drink alcohol and smoke too? thank you doctor for your help, your explanation would be much easier for me to understand everything especially my coldness feelings all the time.

### output:

Brief Answer:You should undergo further radiologic examinations and laboratory exams. You should be guided by an internal medicine doctor, for a more accurate etiological diagnosis and to adjust your medical therapy. Detailed answer:Thank you for using Chat Doctor. First, more than a therapeutic approach, I would suggest you to undergo further radiologic examinations, and laboratory exams, in way to detect any possible cause of your high blood pressure. Your symptoms during the high blood pressure episodes, may be suggestive to secondary possible causes of hypertension such as Cushing syn Chat Doctor.  But for being more precise into guiding you, I would need more anapestic data and a detailed physical examination. That's why I suggest yo to see an internist who may lead you in detecting the causing factor of your hypertension. In most of the cases in, even though you do all tests for secondary causes, it doesn't get out nothing. At this case we are in front of an idiopathic hypertension, which we have to deal with. Regarding your actual treatment, atenolol is not the first choice, for blood pressure treatment, but as you may have high heart rate, your doctor has chosen it to treat you. It lowers the heart rate, leading to low blood pressure. But as you are still having this attacks even under atenolol, it means that it is not enough for your full treatment. You should make a 24 h ambulatory blood pressure (BP) monitoring. If you have a persistent blood pressure higher than 140/90 mmHg additional blood pressure reduction should be achieved, increasing the atenolol dosage or adding any other 