The labile BP is unusual, but without knowing more about you, I can't determine what is causing this problem. If you indeed have mild AI, then all you would need is serial echocardiograms and possibly a medication or two. As for the chest pain, it's hard to recommend something since I don't know what prior tests you've had done. Perhaps you could write back with additional information and I could give you a more complete response. I hope you find this information useful.
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Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem. Information contained within this forum is intended solely for general educational purposes and is not intended nor implied to be a substitute for professional medical advice relative to your specific medical condition or question. Only your physician can provide specific diagnoses and therapies.