In clinical practice, headache and chest pain are usually two independent symptoms that do not occur at the same time, and there is usually not much connection between the two symptoms. However, if the patient has headache and chest pain at the same time, it may be caused by elevated blood pressure. Patients with elevated blood pressure will experience head swelling and headache discomfort, and hypertension may lead to acute coronary ischemia, inducing patients to experience angina pectoris and chest pain. Patients are advised to visit the hospital promptly for examination to avoid delaying the condition. Patients can have an electrocardiogram, intracranial segmental vascular ultrasound and, if necessary, cardiac ultrasound, as well as coronary CT and coronary angiography.