Conversation: The conversation between human and AI assistant.
[|Human|] I was at work and felt all of a sudden shaky, anxious, rapid heart beat, tingly on arm and left side of face...stopped working came home tested BP and it was 174 over 110 checked again several times readings were 162 106 p 111, 155 106 p 111, 153 110 p 129 So I decided to go to the ER just in case, when I got there the doctor said it was normal 121 over 80 I am about to get my period could this be a cause of the spikes on my bp??? I still felt kinda shaky and tingly even after I got home, could my blood sugar levels be affected as well??? I am not a diabetic tho my mom is, I felt similar symptoms back in september had a general check up my MAP was max sistolic 164mpg min 87mg diastolic max 98mmHg minimum 43mmHH according to findings negative for hypertension. The lab work showed glycemia 89 mg/dl ...thyroid t4 total 8.47ug/dl, tsh 2.756 mUI/mL and t3 Total 1.17 ng/mL... could these symptoms be caused by stress and anxiety or do your recommend I do further testing?
[|AI|]  Hello, Is your BP machine accurate? This tachycardia is leading the BP up. The cause of this tachycardia seems anxiety. It is better to visit a psychiatrist. Pre-menstrual anxiety is one of explanation, if it is always before menses. Your previous testing of BP is also negative for hypertension. You can also go for 24 hour urinary VMA (vinylmendalic acid) levels, serum epinephrine levels, serum electrolytes and renin aldosterone ratio (if that's covered by your insurance) to have a look at other possibilities like coins disease, pheochromocytoma. Hope I have answered your question. Let me know if I can assist you further.