###Human: Is it normal to get chest pain, dizziness and breathlessness in a hypertensive patient? ###Assistant: Hello. We are here to help you. With chest pain and murmur and a history of hypertension, cardiac chest pain is the most probable diagnosis. However, acid reflux and muscular pain need to be kept in consideration. It is important to differentiate between all as the treatment course is entirely different. The muscular chest pain is dull and diffuse and any movement aggravates it. It is usually continuous and not intermittent like the cardiac chest pain. Cardiac chest pain is severe and crushing in nature. It increases on activity like walking, exercising. It often radiates to the left arm, shoulder and nape of the neck. Following ECG, for cardiac evaluation, you need echo and treadmill test (TMT). If any abnormality is found, then an angiography should be performed. Share my opinion with your doctor. Stay healthy.