Dull pain right arm 3 weeks dr said ecg fine. bp 160 over 90. had ck test. on beta blockers & aspirin. is this heart or alcohol problem. smoke 40 day?

Need more testing: Just because your EKG was normal does not necessarily mean you have no cardiac issues. If you smoke heavily and have persistent extremity pain of unknown significance, it would probably be in your best interest to have a stress test performed. This can potentially aid in determining if your pain is of cardiac origin. I don't see how alcohol could play a role in this.

Heart with a Heart: Your heart can be the problem .but alcohol and smoking contributing. you need to stop Alcohol and smoking now and lower you blood pressure to less than 140/80 You need to see a cardiologist who will need to do a stress test. If you can walk on a treadmill you can perform either a stress nuclear or stress echo to rule out coronary disease. Then start on a statin and work on lifestyle changes.