Conversation: The conversation between human and AI assistant.
[|Human|] While I was looking through some of my past medical records I saw that I have a tortuous aorta in the heart. The doctors have never told me this. I have had hbp for years. I just turned 41 at the beginning April. I also have rheumatoid arthritis. Lately I have had many hot flashes, along with dizziness, a feeling of my heart beating outside my chest, and difficulty breathing. Should I worry about it?
[|AI|]  Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Ongoing Myocardial ischemia leading to evolving stroke in the brain. I advise you to get an ECG,2D Echo of your heart, lipid profile, hsCRP, CT brain immediately to confirm the diagnosis. Monitor your blood pressure, heart rate immediately. Chat Doctor. Avoid stress and anxiety. Avoid fatty foods, smoking and alcohol. I also advise you to get your BMI measured and reduce weight if you are obese. Also Exercise daily for 30 min. Coronary angiogram with or without stenting will be the procedure of choice. Consult your cardiologist for expert management and follow up. Post your further queries if any, Thank you.