<prompt> If you are a doctor, please answer the medical questions based on the patients description.On 2nd May 2010 i started with vertigo and a cconstant feeling i was going to pass out. Since then my symptoms are : dizziness, lightheaded, short of breath, chest feels tight, heart palpatations, pain in my left arm, feeling weak, tired all the time, and generally unwell. Usually my blood pressure is 12060 today it is 10779. Ive been unwell with this for 4 months now - should i be concerned? Im a 25 year old female.  <response>: Thanks for your question on Chat Doctor. I can understand your concern. Since you are young 25 years old with normal blood pressure, possibility of stress and anxiety related symptoms is more likely. But better to rule out heart diseases first. So get done ECG, 2d echo and Holder monitoring 24 hours continuous recording of ECG. If all these are normal then no need to worry about heart diseases. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Dont worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. 