<s>[INST] It is about my daughter. She is 30 years old. she recently experienced what the doctor called a vassal vagal. Her blood pressure spikes for no apparent reason for short periods of time. When she goes to bed she feels like her heart is fluttering. Side note my brother had two major heart attacks at age 46. My Grandfather on my Dad s side died of a heart attack and my Grandmother on Dad s side had a pace maker. My grandfather on Mom s side had heart disease. what can I say or do to get my daughter to go to a specialist? [/INST] Howell come to ChatDoctorI really appreciate your concern, vasovagal syncope cant be itself because there are many apparent reasons behind this and without that it may not be vasovagal attack and this need to be ruled out and this is only possible when patient clinically examined and history elicited, but this is self limiting because this is malaise mediated which directly related with vagus nerve, vasovagal attack causes low blood and not high blood pressure, your sister may not be having any cardiac disease, still it is advisable to get done cardiac evaluation test, in short this is nothing to worry, take care. </s>