<s>[INST] my troponion 1 was Im 32 5f 4in white the last mount this keeps on and im bad sick , have been to 2 different dr. the last on dida nuclor test on me and said she was not sure it look ok.  Now here sgine im bad sick short of breath and dizz.alot just got home from E.R.? [/INST] Hi welcome to Chat Doctor... Here you have dizziness and dyspnea complaint ... So I want to rule out cardiac cause which seems most likely here ..... Investigate with.  .1. Blood pressure measurement 2.EKG 3.ECHO(if needed)4. Stress test 5. Cardiac enzyme estimation (if needed)According to cause treatment guided.  ... If no cardiac cause present than resp cause ruled out (although seems less likely here) by chest x-ray and spirometry .... Take care ... Consult pulmonologist for auscultation and further examination.... </s>