Heart pain along with high BP and high sugar is serious and could indicate heart strain or even a cardiac issue. Get an urgent ECG and doctor evaluation, and keep your BP and sugar under control with medication and lifestyle changes.

High blood pressure with an irregular heartbeat can signal conditions like arrhythmia or atrial fibrillation, which need prompt medical evaluation. Get an ECG and BP check, and your doctor may adjust your BP medicines or add drugs to control heart rhythm.

Sleepiness, weakness, fever, and nausea are not typical side effects of these medicines together and may indicate infection, dehydration, low sugar, or a reaction. Get your blood sugar, BP, and fever checked, and consult your doctor promptly to adjust medicines if needed.

Early heart attack signs include chest pressure, left arm/jaw pain, shortness of breath, and sweating. Stroke signs include sudden weakness on one side, slurred speech, facial drooping, or confusion. Both need immediate emergency care.