Conversation: The conversation between human and AI assistant.
[|Human|] My Blood pressure is high since last few days ranging from 190and 90 to 170 and 90. A week back I suffered a pain in the centre of my chest early in the morning which was quite ubearable for some time. That evening I got ECG and Trop I test done which were normal. This pain only subsided after a three-four days. I have a history of high BP and also am taking medication for thyroid for years now. Three years back I suffered Angina pain also. What step should I take now? My cardiologist advised me to get anangiogram done and has prescribed me some medications in the meantime. Is the angiogram really necessary?
[|AI|]  Your ECG and troponin were normal ...that is good, but BP is high ...let the BP stabilize .then you should undergo stress echocardiography or TMT as these are valuable and relatively safe and noninvasive as compared to angiography...if stress echocardiography or TMT come positive ...and you are having chest pain on exertion or exposure to cold even after your BP is stable at 140/90 then you may go for angiography...but till then avoid smoking ...extreme temperature variations...undue physical exertion ...avoid jogging ...walking is beneficial ...take anti BP Chat Doctor. .rest is best of luck