This test would also determine if you have any blood clots or other abnormalities in the heart that might be a cause of stroke or mini-stoke. You should probably also have the possibility of fast or irregular heart beats investigated with a Holter monitor, a device that is worn by a patient to record the heart beat. The episodic high blood pressure deserves further evaluation. If your blood pressure really is significantly elevated at times, there are a number of blood tests that can be checked to see if you have one of the rare conditions that can lead to episodic high blood pressure and also some of the symptoms that you described. You should have a detailed examination by a cardiologist to determine the status of your valve, your heart, and your blood pressure.
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