Chest pain, dizziness, nausea and vomiting are considered in the following two cases: The first case is seen in patients with underlying coronary artery disease and also with previous hypertensive disease. When the attack of coronary artery disease and angina is accompanied by an increase in blood pressure, the patient will experience pain in the precordial region when the blood pressure is greater than 180/100 mmHg, accompanied by dizziness, nausea and vomiting. pain. In the second condition, cholecystitis, patients with cholecystitis will develop biliary heart syndrome, showing symptoms such as chest tightness and chest pain, accompanied by dizziness, nausea, and desire to vomit, and some patients will develop gastrointestinal symptoms such as acid reflux and heartburn. Other conditions such as acute cerebrovascular disease also need to be ruled out.