<s>[INST] dear sir, my father, presently are in ccu ward,his simtoms are hi bp average 170-95, and include are an minor heart attack doctor says that, as a ecg report.but all blood test are good still 4 days are gone but bp are going hi some times going normal,in 3rd night he was chest pain and hi breathing..doctor are surpriseed. what can i do sir ? [/INST] Hello,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.BP fluctain can be many reasons that are ,stress,fever,medicaion (NSAID,decongesants),adrenal issue like pheocromocytoma,caffeine use n food senstizer etc...if u were my patient i would tae dteail history reagrdng riskfactors n do detail exam n run some test to rule out underlying cndition like pheochroocytoama n will tx by asking to dec agents(risk factors) causing flucatioon in BP,do exercise n dec weight n if still it not work then will use medicine to maintian normal bp....for IHD disease need workup of on that line like ecg,cardiac markers,echo to see hwo much heart is function n angio to see how much stenosis n is there is need of angiplasty or not n  medicine for  IHD will also be given...i will advise also for life style modification that wil help too in imprvng quality of lifeI hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician. </s>