question: Hello doctor,I am a 38-year-old female with a history of SVT, cardiac ablation. Smoker of 25 years, 5’4”, 175 pounds. Yesterday I experienced pain in my jaw and left shoulder, took my blood pressure it was 150/105. This went on for about three hours. And went to the ER. They ran a CBC and one Toronto pen test, came back negative. EKG was negative. Blood pressure seems to stabilize on laying down but upon standing the diastolic number continue to be in the 90s and 100s. I was sent home with a diagnosis of anxiety. All day today my blood pressure seems fine until about two hours ago when once again I got jaw pain and pain in my left shoulder. I took my blood pressure and the systolic was 138 but the diastolic was 99. Diastolic remains high over the course of the last two hours. I am not experiencing anxiety. I have no history of high blood pressure and do not take medications. Is this acceptable for the diastolic number to be this high? Currently, I am taking Nexium 40 mg.