Hi, I'm a 46 yr old black female. My BP today is 144/87 with a 101 heart rate. I had s Starbucks coffee this morning with an extra shot of espresso, hence might be the reason for increased heart rate. I take BP med at night ditiazem hcl er 240mg and sometimes zestoretic gen 20/25 in the morning. I also take the following vitamins- b6, k12, garlic, omega 3, calcium d3, and magnesium. I have had pain behind my right shoulder for a week, but no other symptoms. Do u know where this pain might be coming from? And, how bad is it to have that BP and heart rate over 100?? Thanks