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HomeAnswersCardiologychest painI suffer from intensified chest pain, headache, and fatigue. Why?

What could cause intensified chest pain, headache, and fatigue?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 25, 2024
Reviewed AtMay 25, 2024

Patient's Query

Hello doctor,

About a week ago, my chest issues emerged alongside extreme fatigue, requiring 10 hours of nightly sleep and multiple daytime naps. I am experiencing constant chest pain intensified by leaning forward or standing, coupled with a severe headache above my right eye for three days. I have received positive ANA, elevated sedimentation rate, and CRP, along with a high blood pressure reading (previously low blood pressure throughout life). Currently, I suffer from ongoing chest pain that persists for a week, becoming more intense upon standing, and my pulse spikes to 120 to 140 beats per minute just from standing up. I have also suffered constant breathlessness, and I have nearly fainted twice. Please help.

Thank you in advance.


Welcome to icliniq.com.

I read your query and can understand your concern.

I suggest you may have systemic lupus erythematosus (a chronic autoimmune disease) affecting your coronary arteries, leading to an inflammatory reaction and potential cardiogenic shock, a critical condition where the heart is unable to pump enough blood to meet the body's demands. Also, I suggest undergoing ECHO (echocardiogram), ECG (electrocardiogram), and cardiac MRI (magnetic resonance imaging) and sharing the results as soon as possible.

I hope this helps.

Kindly revert in case of any further queries so I can assist you further.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Chibitam Hope Obia
Dr. Chibitam Hope Obia

General Practitioner

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