<s>[INST] My husband hasn t been feeling too good. He is getting very tired doing the smallest things. I just took his blood pressure and it s 146/103. Do you think there is any reason to worry? His father had triple by-pass surgery about 6 months ago and his fathers sister had quadruple bypass 2 months ago. [/INST] Hello, The blood pressure you quote is surely considered on the higher side, and it might be the result of his tiredness, I would suggest you to take blood pressure at different part of time in the day on different days and see if its persistently high, restrict salt on his diet, push him to exercise.  If the readings are high do visit your doctor.  Also, the recent bypass to his father and aunt, would have made him skeptical about his own health, talk it out with him, just because the family members had it doesn't mean he is going to have it. However, he should take care of his diet, lifestyle to prevent any cardiac problem, due to his strong family history Regards Chat Doctor.  </s>