<s>[INST] I have twitching in my veins at different times of the day randomly, with no regualrity, I get high blood pressure only when I drink which is about 2-3 times a week which I consume about 10-12 shots of vodka every time...i have been doing this for about 6 years stright, the twittching in my veins could that be a sign of a serious heart condition? [/INST] Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that the twitching in your veins does not seem to be related to any serious medical disorder. Anyway, I would recommend performing a cardiac ultrasound to exclude aortic valve dysfuntion. I would also recommend performing thyroid hormone levels to exclude thyroid dysfunction. Hope you will find this answer helpful!Kind regards, Dr. Iliri </s>