Your cardiac tests are normal and your blood pressure is well-controlled with telmisartan (Telma) and bisoprolol (Concor). Since your heart is healthy, your symptoms during exertion are likely linked to your other conditions. Costochondritis can cause chest pain that worsens with rapid movement, while acid reflux can mimic heart discomfort. Additionally, severe anxiety often triggers chest tightness and shortness of breath. I suggest discussing these possibilities with your doctor to optimize your reflux or anxiety management. Please seek immediate medical attention if you experience crushing chest pain, pain radiating to your arm or jaw, or sudden, severe breathing difficulties.