1. Do NOT wait — see a cardiologist or your treating cardiac doctor today or tomorrow (urgent if possible). • Show them this BP reading + symptoms. • Ask for: • Repeat BP measurement (manual + digital, both arms) • Repeat ECG if symptoms ongoing • Blood tests (electrolytes, kidney function, lipid profile, sugar) • Possibly Holter monitor if palpitations frequent 2. Temporary home action while waiting: • Rest, sit upright or semi-reclined, avoid sudden movements • Take Sompraz (pantoprazole) as prescribed (helps if pain is reflux-related) • Stop Sinarest for now (decongestant can worsen BP/palpitations) — continue only antibiotic + Supradyn if doctor okays • Measure BP every 4–6 hours — write readings with time 3. Go to emergency / hospital right now if: • Chest pain becomes severe / crushing • Breathlessness worsens at rest • Palpitations feel very fast/irregular + dizziness/fainting • BP goes >180/110 or higher

• Drink plain water (avoid excess salt, caffeine, tea/coffee). • Do slow deep breathing (4 sec in – 6 sec out) when palpitations come — helps calm. • Avoid lying flat if breathlessness is there — sit up. • Do not start any new BP medicine yourself — wait for doctor (they may add or change based on full picture). • After cold/cough is over, recheck BP — sometimes infection/stress raises it temporarily, but LVH suggests longer-term issue. You are doing right by monitoring and getting ECG/ECHO — now the high BP + symptoms need fast action to protect your heart. Most cases like this improve quickly once BP is controlled. For more specific guidance after you see the doctor or if symptoms change, consult with me online. Take care and get checked soon — stay safe

Better to get admitted in a hospital and get evaluated. Do BP charting and share