Welcome to Ask a doctor service . I have read your query and here is my answer . He needs urgent ECG and chest X-ray and blood pressure monitoring . His blood pressure must be controlled with beta blocker as tab Metoprolol For anxiety he needs anxiolytic drug as tab Clonazepam . He should practice relaxation techniques as deep breathing exercises . I hope I have solved your query . Let me know if I can assist you further in this query . With Regards Dr Varinder Joshi