Conversation: The conversation between human and AI assistant.
[|Human|] I have serve pain in the left part of my chest, ringing of my heart in my ears and bloodpresure of 164 over 45. I don t know if I should go to E.R. in our local hospital or wait and see my family doctor tomorrow. Would appreciate and suggestions. Marilyn A
[|AI|]  Hello Marilyn, I have gone through your question. I would like to know from you whether you got chest pain for first time? Or you had similar pain in past, and it was evaluated?your blood pressure 0f 164/45 is abnormal especially difference between upper and lower pressure is significant, and it may point towards leaking aortic valve.However, final opinion can be given only after your clinical examination and investigations like ECG and echo. So better you go to ER and get yourself evaluated early, My best wishes Chat Doctor.