36yo WM, 27 BMI, hx of HBP, hyperlipidemia, anxiety, MVP; all controlled w/ beta blocker, statin, clonazepam. Sedentary. Fear of MI; real risk?

Real risk. It is good that your blood pressure and lipids are controlled but you do have three risks for MI. Being male, hypertension and hyperlipidemia all put you at risk for MI. It is unlikely that you would have an MI at your age but there is still some risk. It is very important that you start an exercise program as advised by your doctor and get your weight to an optimal level.
Real risk. As hypertension, hyperlipidemia and being overweight are all risk factors for vascular disease. It doesn't necessarily mean you're going to have a heart attack today or tomorrow but obviously conveys a real future risk of a vascular event.