<s>[INST] I have high normal blood pressure.  My pressure in my lh arm was 135/74 and in my rh arm 153/85 yesterday morning.  By noon I had shortness of breath and my lungs were tight I wheezed inhaling and exhaling.  Do I have asthma or a heart related issue? [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Wheezing during inhalation and exhalation is commonly seen with asthma. Hypertension can not cause wheezing. So possibility of asthma related wheezing is more likely. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>