Conversation: The conversation between human and AI assistant.
[|Human|] My bp is varying from 116-146/90-102 with a hr of 80-88. The past two days my heart feels like it has a cramp or knot it it. Also I feel sometimes as if I have labored breathing. When I have gone to er with just the heart symptom, my EKG is normal. Ideas of causes?
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and understand your concern. You should not worry, I will explain you something's. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. A person might have high values after a physical or emotional stress, so it is important to judge in mean values day and night. Normal heart rhythm ranges between 50 and 100 beats for minute. There are some heart rhythm issues like tachycardia, extra-systolic beats or arrhythmia like atrial fibrillation that might cause palpitation, skipping beats, cramps sensation in heart, chest discomforts or difficulties in breathing deeply. This might be sporadic this is why your electrocardiogram might be normal. The causes might be different to simple stress, excessive coffee, alcohol consumption or pathology like anemia, hyperthyroidism, ischemic heart disease. So, if I was you treating doctor I will ask some examinations. A cardiac echo to evaluate heart valve and walls, a pressure and rhythm holder monitoring to evaluate these parameters during day and knight. These helps us to have a full view and diagnose hypertension or rhythm problem. Also, a full blood check up, your thyroid hormones and an abdominal echo to evaluate renal structure. After this we can know the cause and how to treat the problem if it is any, Hope I was helpful. Best regards.