<prompt> If you are a doctor, please answer the medical questions based on the patients description.My husband felt like he was going to colapse whilst shopping the other day. He had to take a seat in the shop for 30 mins as he felt very spaced out and light-headed. The nurse in the mall was called and she took his blood pressure 15090 - he is 52 years old. He has also been experiencing pins and needles in his left arm and he says he has strange sensations undler his left armpit and left side of back and neck. I am very concerned as he works long hours and has a very stressful job. Please advise me what this could be or what tests he needs.  <response>: Hello, Thank you for your query. Based on his symptoms I would like to rule out heart disease and cervical spondylosis. Would you clarify a few things for me, please?does he have any other medical issues or take any medications? is this the first time his pressure has gone high?does he smoke or consume alcohol? what are his height and weight? does he have any other symptoms like breathlessness, unexplained sweating, fatigue? I recommend:- a physician consult-blood tests complete blood count, lipid profile, blood glucose panel, kidney and liver function tests- echocardiogram, electrocardiogram- x-ray of the cervical spine and chest x-ray.- a treadmill stress test if required. Based on these a diagnosis can be made. Please maintain a diary about his symptoms and trigger factors, how long it lasts, if he has any other symptoms as mentioned aboveand what relieves it. Please seek medical help right away. Hope this helps. Please let me know if there is anything else I can help you with. Wish you both good health 