Conversation: The conversation between human and AI assistant.
[|Human|] i have this rushing feeling in my head my face feels tight ans numb then I get chest pain in center of chest and left arm goes numb. when it happens i lose all memory of what i was doing and cant recall where i was. i get very tired afterwards. i am 53, about 130 lbs. i have a histort of high blood pressure.
[|AI|]  Hello. Thank you for asking on Chat Doctor. I carefully read your query and will try to be thorough with my answer. The above described symptoms could be of various origins. As a cardiologist, I would like to clear the cardiac origin first. Chest pain with coronary artery origin is called angina, and it is described as a chest tightness, heaviness which starts in the midchest region, radiates to both sides of the chest, throat, jaw and left arm, start with physical activity and ceases with the cessation of this physical activity. People with high blood pressure are prone to have these symptoms and, adding your age, are in risk for cardiovascular events. I would recommend you to be put on a 24-hour blood pressure monitor to see if your hypertension is properly controlled, and further adjustment should be made. As for the episodes with losing memory and not remembering what where you're doing, I am not sure if these are fainting episodes. Anyway, I would recommend a 24-hour Holder rhythm monitor and a color Doppler echo of the carotid (neck) arteries. Then, it would also be advisable you consult with a neurologist. At the end, I would also recommend some blood tests: cholesterol, LDL-fraction, triglycerides, urea, creatinine, liver function tests and fasting and 2 hours after the meal glucose. It is after this body of exams are done, when we can further discuss for further properly treating the main and side problems. Feel free to ask again. I hope I was helpful. Take care.