Conversation: The conversation between human and AI assistant.
[|Human|] My bp has been running a bit high for the last couple of months, also my pulse rate.  This morning it was 157/97 with heart rate 107.  Took it again few minutes ago and it is 132/90 with pulse rate 116.  I seem to be able to tell when it is high because my head feels really weird.and spacey on the top.  Kinda like it feels full.  Last week I was driving home from my mothers house and had this feeling, about 10 minutes later my heart started beating real fast and I felt like I was going to black out.  Pulled car over and let my son drive home.  He took my bp when we got home and it was 156/78 with heart rate 102  Have a dr appt. next week.  Should I try to go to urgent care or something before then?
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. In your case we have to deal with two different problems but strongly related with each other, hypertension and rhythm issue. We talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. Fast heart beats might be a simple sinus tachycardia. This mean that your heart beats over 100 beats for minute. But it might be another kind of arrhythmia like atrial fibrillation. It means that your heart beats in a chaotic way. Hypertension might lead to fast heart beats, but also an arrhythmia might rise blood pressure. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze, a holder rhythm and pressure monitoring. These is not urgent examination, you can wait until the appointment with your doctor. Only if it happens again to have fast heart beats that last for several minutes and if they seem irregular I would recommend you to go directly to the emergency room. In this case, through an electrocardiogram we can catch a rhythm issue if it is any. Hope I was helpful. Wish you good health. Best regards.