### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Im a 34 yr old female with slightly elevated BP.  Ive been monitoring it as directed by my doctor for about 2 months now..I should mention that I have also had frequent headaches/migraines for the past several months as well. A few days ago I had a dizzy spell all of a sudden while grocery shopping and thought I might faint as well as my heart was racing.  I went home and took my BP and it was 150/96.  Today I started feeling not well, headache, heart racing.  I took my BP and it is now 141/105.  My mother, grandmother and aunts have all either had high BP, heart attacks, or strokes.  Are my issues urgent?

### output:

Hello! Welcome and thank you for asking on Chat Doctor! I read your question carefully and understand your concern. Your symptoms seem to be related to uncontrolled high blood pressure. Your past medical history may be related to a hereditary high blood pressure. The headaches may also be an indicator of uncontrolled high blood pressure. From the other hand a cardiac arrhythmia can not be excluded, referring to the lat episode. I recommend consulting with your GP for a careful physical examination and perform some tests : -resting ECG and cardiac ultrasound-blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes, fasting glucose, kidney and liver function tests, thyroid hormone levels, cortisol and aldosterone plasma levels), to exclude other secondary causes of high blood pressure. An ambulatory 24-48 hours ECG monitoring may be necessary if suspicions of possible cardiac arrhythmia are raised. Hope to have been helpful! Best regards!