<s>[INST] High blood pressure 173/116 and cold sweats, just another panic attack? Had a complete work up two weeks ago, with nuclear stress test. Returned to ER a week later because BP was still high even after doubling bp meds. Treated with ativan and released. Started with the drippping cold sweats about two hours ago. Dawned on me a few minutes ago to check BP again. It was high earlier and I took 1.5 ativan. I really dont want to go back to the er to be told the same thing. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Stress, anxiety and panic attacks are the biggest risk factors for uncontrolled hypertension. So we should first treat your panic attacks to achieve blood pressure control. For this, better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Along with  </s>