### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi I have had a blood pressure check with a home machine which gave a high reading and a feeling of pressure under the stern ham also my heart rate is high but thisMay be that I am worried in case I have a heart problem. The pressure has come and gone for around4 months

### output:

Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. Essential hypertension is a chronic disease. It has not a definite cure, but it should be treated life long. Sometimes a lot of people does not feel anything even having high blood pressure. But sometimes, excessive blood pressure in a hypertensive crises can be manifested with headaches, blurred vision, nausea or vomiting, increased heart beats, chest pains or pressure as you describe. So, first I will recommend you to measure your blood pressure. If you have elevated values, meaning mean values above 140/80 mmHg than you have to treat it. If you leave your blood pressure untreated it slowly modifies the heart. If I was your treating doctor I will recommend a full cardiac check up with blood test analyze, an electrocardiogram, echocardiography, a pressure and rhythm holder monitoring. Only after this we can be able to judge to start a medication or not for high blood pressure and heart rates. In mean time avoid excessive salt intake, caffeine products, energy Chat Doctor. They rise your blood pressure and your heart frequencies. Hope I was helpful. Wish you good health. Best regards.