<s>[INST] My blood pressure is 200/103 left arm and 182/95 right arm, I noticed when I breath out I have some wheezing/rattling sound coming out. Slight discomfort in my chest on the left side by heart. Do I need to go to the ER or can this wait until tomorrow??? [/INST] Hi, I suggest you go to a emergency room immediately.Your blood pressure is high and you are with chest pain should be ruled out the possibility of acute coronary syndrome or other serious pathology.Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health. </s>