Creekfeet I also get a great deal of chest pains these days usually coupled with a bout of orthostatic intolerance and some degree of shortness of breath. While I think it needs to be checked out, I don't want to because my family doctor will brush it off and emergency doctors will laugh at me :ashamed: Of note I have had a holter monitor and echo last year and it appeared all normal. Maybe they were not the right tests? Dr Lerner and Dr Cheney are well aware of the type of heart problem a CFS patients can have. It is not related to blocked coronary. It is usually diastolic, mitochondria, and low blood volume related. It would need a really astute cardiologist to figure it all out. And then I would be worried to bring a scientific paper to the emergency... It would sounds rather hysterical???