Conversation: The conversation between human and AI assistant.
[|Human|] hi, i have been having sharp pain from my lefr breast which goes down my left arm, i had a ecg today, by blood pressure was 190/90 but then nurse took it 2 minutes later and it went down to 160/90, i am on ramipril, the ecg results looked normal but my doctor has yet to read it, what do you think it could be, thanks from denise
[|AI|]  Hello, Was that pain settled after BP was controlled? Do you get it frequently? What are the associated symptoms and how long does it persist and how its relieved.  Before commenting, I'll need some more information, but considering your BP was elevated, the first possibility is of strain over the heart due to high BP.  ECG can be normal. So our priorities are to control the BP, and you should get treadmill test done to look for heart as a cause of pain. We need to escalate the dose of April for BP control.  Hope this helps you and get back with some more information.