If the patient has dizziness, accompanied by chest tightness and pain, there are usually several reasons as follows: 1. The most common diseases are neurogenic diseases, such as cerebrovascular disease, acute stroke, or the patient has a TIA attack, which is also called a transient ischemic attack, or the patient has hypertensive encephalopathy, or the patient has an acute cerebral infarction, acute cerebral embolism, or cerebral hemorrhage and other conditions. Dizziness, accompanied by chest tightness and pain in the clinical manifestations. 2, cardiac factors, such as patients with coronary atherosclerotic heart disease, unstable angina pectoris, the heart due to myocarditis, pericarditis, endocarditis and other conditions resulting in the heart’s blood supply is incomplete, there will also be chest tightness and pain in the situation. Finally, in some respiratory diseases, such as respiratory failure, pulmonary arterial hypertension, and pulmonary heart disease, the lack of oxygen can also lead to dizziness and chest pain.