Occasional Hypertension Without Chest Pain: Causes & Management

Question
how can we acertain the reason of occassional dis-comfort without chest pain but occ at that time finding hypertension 160/100 180/110 which become cure with in 1 hrs either by any hypertensive drug only once..no further second time require any such drug.actualy this situation is created rather by habit of mild tobaco (qimam)habit or strong tea/cofee.mostly only one banna and one glass plane lime soda also reverse the situation in one or 2 hour.
what is dignosis? which pathological and instrumental tests are require for further knowledge?generaly BP reading is 130/90 mostly

Answer
how can we acertain the reason of occassional dis-comfort without chest pain but occ at that time finding hypertension 160/100 180/110 which become cure with in 1 hrs either by any hypertensive drug only once..no further second time require any such drug.actualy this situation is created rather by habit of mild tobaco (qimam)habit or strong tea/cofee.mostly only one banna and one glass plane lime soda also reverse the situation in one or 2 hour.
what is dignosis?  Could be printzmetal angina, regular angina which get worse with caffeine(coffee, tea or bannana) or nicotine

which pathological and instrumental tests are require for further knowledge?
Stress echocardiogram would be the first step, second step could be sestimibi and third step is a heart cath