Low blood pressure after HA

Hi everyone,

I'm a 50M and had a 100% blocked mid-LAD heart attack about 3 weeks ago. Before that, my blood pressure averaged around 125/85.

Since then, I’ve been prescribed Metoprolol (25mg at night with dinner) and Entresto (half dose in the morning and half at night).

Lately, I’ve been noticing some pretty low blood pressure readings at night — things like 93/53, 99/57, and 96/51. I do sometimes get more normal readings, but usually only after I’ve been up and moving around.

Today after cardiac rehab, I exercised for an hour, then rested, and when they checked my BP it was 97/56. The staff said they’d contact my cardiologist, but I haven’t heard anything back yet.

Just wondering — is this level of low BP after exercise or at night something to worry about? Or just part of the medication adjustment phase? Appreciate any insight or shared experiences.

Thanks!