Conversation: The conversation between human and AI assistant.
[|Human|] I am a 47 year old female. I have had high blood pressure my whole life. Recently my pressure was diagnosed as spiking.. It can get as high as 200/140 and 177/125 and this happens in the day. At night it goes below normal readings. I have seen a cardiologist and I felt blown off by him. I have seen a doctor for anxiety for years. I am terrified as my father died of heart disease and was diagnosed 30 years ago with a pheochromocytoma. Why do Canadian doctors blow off their patients...I am terrified. Pamela
[|AI|]  Hello, I understand your concern and would explain that these spikes in blood pressure values could be related to anxiety or physical activity.  I would like to know your current therapy in order to be able to suggest possible changes that may improve your situation. A beta blocker (carvedilol, propranolol, etc.) would help reduce those spikes in blood pressure values.  I would also recommend checking thyroid hormone levels and trying to reduce salt and caffeine intake.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.