Do I need to see a cardiologist? I can hear my heartbeating, one foot and ankle is swollen, and my systolic blood pressure usually runs between 140-160. The distolic is normal. I have heard the pulse in my ear for a very long time. The blood pressure has been slowly rising for about a year. The swollen foot and ankle started a few weeks ago. I am a 59 year old female. I also have MS.