What causes elevated BP, tachycardia with discomfort in chest?
Patient: Hi, I have elevated blood pressure, tachycardia when standing, squeezing sensation in my chest around left shoulder and neck and a chronic cough that increases with activity. I have also noticed some bright colored blood in my sputum. I have a clean chest X-ray, clean echocardiogram, normal ECG and a recent CAT-scan of my aorta is also non-alarming. The chest discomfort intensifies at rest and is not constant. Additional symptoms: Headache, enlarged blood vessels in my eyes, intermittent kidney discomfort, bluish fingernails, intermittent tingling of left hand fingers and feet. Doctor: Hypertension is alifestyle disease which needs a lifestyle solution.Please rule out secondary causes of hypertension especially Pheo chromo cytomapleaase doa TMT to rule out IHD.You have not mentioned about your work stress and home stress Your occupation ,whether you are a smokerwas Vitamin D , Magnesium and HS CRP  TEST DONE and their results .A more detailed hsitory required to give more specific advice