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There is a girl in my office, about 44 years old and the exact same thing happened to her.  Considering the fact that a 57 year old, otherwise healthy individual, at our place of employment died two weeks ago from a heart attack, she is being proactive about seeking medical attention.  The spikes in blood pressure does not run in her family and she has NEVER had a problem with high blood pressure.  When she had gone to the ER they told her that her BP was at stroke level.  The next day, she did the treadmill test which showed no known blockages but today she will have blood work done and probably be on meds for the BP.  The fear are reality of a stroke is just too scary not to do anything.  I believe that if our 57 yr old male friend had done something when he started feeling ill, he would still be here today.  You can never be too proactive about your health care.