Hypertensive Heart Disease: This condition is a common cause of breathing difficulty and high blood pressure. The increased blood pressure can lead to heart failure, which in turn causes breathing difficulties due to fluid buildup in the lungs.

Chronic Obstructive Pulmonary Disease (COPD) with Hypertension: COPD can cause breathing difficulties, and many patients with COPD also have hypertension, which can exacerbate symptoms.
Asthma with Hypertension: Asthma can cause breathing difficulties, and some patients with asthma may also have hypertension, which can worsen symptoms.
Pulmonary Embolism with Hypertension: A pulmonary embolism can cause sudden breathing difficulties and may be associated with high blood pressure due to the body's stress response.

Cardiac Tamponade: Although less common, cardiac tamponade is a life-threatening condition that can cause breathing difficulties and high blood pressure due to fluid accumulation in the pericardial sac.
Pulmonary Edema: This condition, often associated with heart failure, can cause severe breathing difficulties and is associated with high blood pressure.
Aortic Dissection: A tear in the aorta can cause severe pain, breathing difficulties, and high blood pressure, and is a medical emergency.

Pheochromocytoma: A rare tumor of the adrenal gland that can cause episodic high blood pressure and breathing difficulties due to catecholamine release.
Cushing's Syndrome: A rare hormonal disorder that can cause high blood pressure and breathing difficulties due to obesity and other metabolic changes.
Primary Pulmonary Hypertension: A rare condition characterized by high blood pressure in the pulmonary arteries, which can cause breathing difficulties and is often associated with other systemic diseases.