Suggest Treatment For Chronic Headaches And Dull Pain In Left Arm

I am a 39 yr old wf smokes a pack a day, weight is 200lbs extreme htn for years with chronic headaches, I have multiple Angiomas in my brain and have epilepsy, and I just recently started having major sob episodes, occasionally combined with a left arm dull pain , only sometimes. When the sob starts its with mild exertion. This may sound dumb but I can feel my heart beating through my chest and pulse is usually at 89-105. My bp cuff broke so I am not sure of my bp