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

### input:
my husband is 59 yrs old. i took him to the er last friday, they said his lungs looked ok but he had bacterial pneumonia . His bp was 156/82 then with no temperature. I took him back to the doctor yesterday, his bp was 168/82. They said he still had junk in his lungs but put him on no more antibiotics.Instead put him on spiriva and advair(500 dose), said that would help him more to get stuff out than the antibiotic he was on ( levoquin 750mg once a day). Today he was siting in the chair doing nothing , all of a sudden he got beat red and very dizzy and said he felt like he was going to pass out and fall out of the chair.It lasted about 3-4 minutes. This is the 3rd time in 2 months this has happened to him and each time he is sitting in the chair watching tv.What could be causing this to happen? At the hospital his white count was 23,000 and they said he had low sodium and to just increase his salt intake for a few days, to eat some chips. When these spells happen to him i am sure it is his bp spiking for some reason, but am not positive.

### output:

Hi Welcome to Chat Doctor, I can understand your concerns. Your husband symptoms are suggestive of Myocardial ischemia leading to these attacks which may be complicated to Stroke in the brain if left untreated. I advise him to get an ECG,2D Echo, lipid profile and Serum electrolytes to confirm the diagnosis. Monitor his blood pressure and heart rate regularly. Continue with the present medication. He may need Antiplatelet and Lipid lowering Chat Doctor. Consult cardiologist and neurologist for expert management. Regular exercise and dietary modification is mandate. Post your further queries if any, Thank you.