What could be the cause of chest pain during the night?

Question

Hello doctor,

I had chest pain in the middle of the night and became unconscious for a minute. It recurs every three to six months but became unconscious for the first time.

Answer 1

Hello,

Welcome to icliniq.com.

I would like to know some more details about your symptoms:

Since when did you start having chest pains?
Have you ever consulted for chest pains? If yes, was any conclusion for the cause of chest pain made? If yes, please tell.
Are you on any regular medicines? If yes, tell me names and doses.
Which position have you been in before becoming unconscious - laying in bed, sitting, or standing?
Apart from chest pain, did you feel any other symptoms before unconsciousness?
In how much time do you regain consciousness?
Do you have urine incontinence, tongue bite, injured body part, or sweating during unconsciousness?
Was there anybody with you? If yes, what do they tell happened in your body before and during unconsciousness?

I would suggest doing the following investigations,

MRI (magnetic resonance imaging) brain with seizure protocol.
EEG (electroencephalogram).
2D echocardiogram.
ECG (electrocardiography)
Bilateral carotid artery and vertebral artery doppler.
Holter monitoring.

Revert with above mentioned information for better understanding and further judgement.

Answer 2

Hello,

Welcome back to icliniq.com.

Possibly it could be micturition syncope. But as there has been no eyewitness, I suggest you undergo an investigation and consult a cardiologist.