Conversation: The conversation between human and AI assistant.
[|Human|] I ve been having trouble with my legs swelling up, trouble breathing and some chest pain. I had a paracaditis surgery in 2011 because they said the sack dried up around my heart. The family dr. sent me to a heart dr. and I went to see him. He wanted a echocardiogram done so I had that yesterday. Before we got home the heart dr. called the house so I called him this morning. He said the pressure is high in my heart and wants me to get a heart cathiterisation done. He wanted me there today for it but I didn t have anyone to drive me home. What is the cause of high pressure in the heart and what could happen if I just let it go?
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you are having congestive cardiac failure (CCF). Uncontrolled hypertension can cause CCF. And the most common cause for CCF is coronary artery disease.  So when patient is diagnosed with CCF on 2D Echo, we need to rule out coronary artery disease first. And to rule out coronary artery disease, cardiac catheterization and angiography is must. And if blocks are detected than coronary intervention should be done. So don't let it be as it is. Consult cardiologist and get done angiography and start treatment accordingly.