Conversation: The conversation between human and AI assistant.
[|Human|] Hi My mrs has this heart murmur, which is causing the blackouts, and she has panic attacks. Yesterday the doctor was quite concerned at how her blood pressure was so high, and then a couple of weeks go when she had her smear, it was too low. She has now got this bruising appearing around her lower back too, and i don t know how its been caused. I m really worried about her. Is this seriouse?
[|AI|]  Hello, I would explain that a heart murmur could be related a structural heart abnormality.  For this reason, I would recommend performing a cardiac ultrasound and a resting ECG in order to examine her heart function and structure.  Considering her blackout attacks, I would recommend performing some tests too:- complete blood count for anemia,- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance.  An ambulatory 24-48 hours ECG monitoring would help examine her heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.  Hope I have answered your query. Let me know if I can assist you further.