Age 47 Female Active Lifestyle And Job. B-P 145/85 Pulse

Age 47 female active lifestyle and job. B-P 145/85 pulse 95. Single thyroid nodule 9mms Cold hyperechoic. Afib but used to have low b-P of 90/76. Where to go from here? Thyroid labs usually within normal range. So dr usually says all is good but I feel horrible. I wake up at least six to seven times a night with heart feeling like it is vibrating.. and cold sweat.