My Husband's Bp Is 147/94, HR Is 79. He Is

My husband's bp is 147/94, HR is 79. He is 5'10mand 200#. He is very active at baseline. He mentioned to me he has had trouble catching his breath all week. He takes Prilosec every 2-3 days, airbourne and glucosomine. He has Chiari 1 malformation that is self managed. He is currently not agreeable to call PCP or visit Patient First. He is active for work in construction. At what point do I push seeking medical attention?