Greetings. Welcome to HCM and thank you for your question. I understand your concern.
Blood pressure figures aim is to keep it under 140/90 mmHg. This is because, it is estimated and confirmed that figures above those mentioned, if for a long time, can cause various organ damages, especially in the kidneys and the eyes. If you are constantly experiencing figures higher than these, you can switch the dosage of verapamil/trandolapril (Tarka) 180/2 mg, to 240/4 mg. It is slow release, and provides safe and effective blood pressure control, and is especially indicated in patients with bronchial obstruction diseases (such as asthma, where beta-blockers are counterindicated). Meanwhile, asthma typically produces
shortness of breath. While
chest discomfort is not a common event in asthmatic patients, it may happen, and is dedicated to the
bronchial spasm or obstruction. My opinion is that nothing is wrong with the heart, judging also from the fact that
echocardiogram and cardiac stress test were both normal. Should there be
ischemic heart disease or coronary artery disease, they would become obvious with these tests.
I hope I was helpful. Take care.
Best regards,
Dr. Meriton