Hello Wyoming! Yes you should at minimum consult your PCP, especially regarding your angina and your noted CHANGE in its pattern. I to have small vessel issues in addition to my 4.4 ascending aneurysm. Mine is going to get measured again in a few weeks, as the growth rate is unclear. My small vessel issues, however, are what cause my angina.... not the aneurysm at its current size. Yours may be different, or changed. Be very very careful with the angina. My nocturnal heart rate goes into the forties on a regular basis. Its my norm. I got a pulse oximeter with a little vibrating alarm, in case my oxygen goes below 90. That helps me feel more confident when I sleep, plus it wakes me up if there is an issue. Good luck, and keep track of your blood pressure, your oxygen saturations (stay over 95 during the day time), your angina, and your overall sensations of feeling "different" especially during various activities. Your PCP will shed light on all of this. Thats what they want to do: "Prevent" adverse events❤️.