Waking up early and wanting to vomit chest pain may be caused by heart disease such as coronary atherosclerosis, or digestive system diseases such as reflux esophagitis. 1. Heart disease: heart disease such as coronary atherosclerosis, myocardial infarction and so on can lead to the occurrence of angina pectoris. Angina pectoris is caused by reduced blood flow to the myocardium, ischemia and hypoxia, and is more common after exertion and emotional stress. At the same time, angina pectoris can affect the gastrointestinal tract, and patients may experience nausea and vomiting. 2. Digestive system diseases: Digestive system diseases such as reflux esophagitis, gastritis, etc. can cause chest pain and vomiting symptoms. Due to the inflammation of the digestive system, resulting in gastric acid reflux, damage to the esophagus, the back of the sternum can appear pain, accompanied by nausea, vomiting and other symptoms. Patients who have chest pain and want to vomit need to go to the hospital to identify the cause of the disease, in order to provide symptomatic treatment, to avoid delaying the condition, resulting in serious consequences.