Question: august 2010 I had an MI 6 stints were placed in my heart,,,,,rather than doing open-heart surgery...my choice....I now am having b/p spikes, and ttey give the same symptoms of an MI....ex.... the last one my bp was 256/13 pulse 130... that was recorded in er..... my ekg was normal and now I am concerned because of the frequent reacuring spikes.....what should the pcp look for or what should I do to have this condition taken seriously, my HMO DR. has me on isosorbride mononitrate 60mg bid it prevents me from feeling the pain caused by the spike, but I feel like I have a tooth ache in every tooth when there is a spike... I am on a monitor at home and they are all recorded.. they happen any time during sleep or wake... nothing specific that I can place them connect to. my concern is that the hmo wants to increase the medication but are doing nothing to determine the cause of the spikes. please give me some information , or tell me what I would like to discuss with my HMO pa.. as to the cause. I am a 73 year old female and had a full time job (nursingwith special needs children) I loved my job. and the spikes were happening at work ...... they have me on alprazolam .25 prn.. the first spike was October 15th 2012 and I was asleep. the symptoms were the same as the one's I had with my MI. please help or send me to another source.... XXXXXXX trahan XXXXXXX valley ca. ( I want to return to work I miss it ) thanking u in advance for any help u are able to give me.... the hmo just wants to increase the medication......HELP