Conversation: The conversation between human and AI assistant.
[|Human|] i have had 7 abnormal ekgs and failed my stress test. I suffer from weakness, dizziness, nausea, chest pains,shortness of breath and headaches. Swollen feet and ankles. My blood pressure is 95 over 55 on a good day and 83 over 41 on bad days. Nitro didnt help with the chest pains and Morphine helped me walk about with almost no problems. However there is no diagnosis. Im still in pain and no answers what do you think?
[|AI|]  Hi this is most likely congestive cardiac failreadviceNT-pro BNP tester electrolytesStress thallium test to rule out cardiac functions, if stress thallium not available go for a 2 d echo As soon as possible .2d echo will reflect the functions of the heart, the left ventricle ejection fraction.after that coronary angiogram would be planned. Most likely you are in congestive cardiac failure due to blockage of coronary vessels. Urgently contact a cardiologist he would start you on diuretics, nitrates, beta blockers and calcium channel blockers. You low blood pressure is most likely because your LVEF is low, so go for an echo asap. Sorry but if you will neglect this, you can have a cardiac arrest soon