@colleenyoung first let me clarify. The heart defect I had for 50ys. Was a AVNRT , it was fixed with an ablation. That was in 2010. But in 2009 I had a nervous breakdown, causing neurological damage. This was confirmed by the surgeon in 2010. He said it couldn't be repaired. So since 09 I have arrhythmias. They cause low BP. This last er trip was not the one by ambulance, they would have taken me to a hospital that has the cardo Dr that said I od on caffeine. So I had a friend take me to a different one. My BP was very high , 211/98, I had pressure and mild heart pain. I didn't think heartattack, but a definite serious problem. Normally I figure out and handle myself, can't depend on dr. I tried everything I knew and still BP was up and climbing. So now I'm back to on my own. Thanks for all the support ( I needed it) and advice. You can't make dr listen. I had a pcp years ago, she was experiencing all the same symptoms as I was. Her Dr accused her of overreacting and self diagnosing. They just don't care.