Conversation: The conversation between human and AI assistant.
[|Human|] Spent the day monitoring my BP because of palpitations and slight chest discomfort. Not sure but my icd may have paced me a couple times. BP has been 128/92 puls in the 70s. Background: I am a cardio patient, 2002 quad bypass, followed by 3 of 4 grafts being stinted 3 years later. Should I use nitro when experiencing the palputations?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. No, don't take nitro tablet without consulting your doctor because this can be life-threatening as nitro tablet can cause hypotension. In my opinion, you should consult your cardiologist and get done fresh ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). These will tell you if your pacemaker is not working properly. It will also tell you if any arrhythmia (rhythm disturbances in heart) is present or not. So, better to first diagnose yourself and then start appropriate treatment, don't take nitro tablet. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.