<s>[INST] My chest has hurt for 3 days now. It s hurts when I breathe, and cough. There is a lot of pain and pressure in the center of my chest, like my whole chest, especially when I bend, lay down, squat down. That pain when I do those 3 things spreads to my head. I ve had a headache for 4 days now. My whole body feels like I have the flu, achey and painful joints. I m a 34 yr old female, with SLS,and cardiomiopothy. I also get dizzy spells 5-6 times a day, lasting 10-30seconds, they cause extreme brightness in my eyes to where I can t see and my head feels hot. My BP is 88/ 57 and pulse is 80bpm. Any thought, help, advice I welcome. Thank you for your time. [/INST] Hi Dear !! Thanks for your query to HCM.Read and reviewed facts of your health query.I understood your health concerns. My Impression-Based on facts of your query,You seems to suffer from-LRTI with Low Blood Pressure from CardioMyopathy.Meticulous use of antihypertensive drugs,early checks to treat the cause of Chest pain would resolve your issues of dizziness/ headaches.Anitibiotic treatment for lung infections causing achy painful joints, which are common with cardiomyopathic failed cardio-respiratory functions.The review of anti-arrhytmic drugs and pacemakers for anti-arrhythmic problems would reduce the frequency of dizzy spells , which are mainly due to VFS/Premature beats/ AFs with Cardiomyopathy,Regular treatment reviews  from Cardiologist even for lung infections is needed in your case, as these lung infections are related to arrhythmia induced heart failures of your heartHope this would help to plan treatment with your doctors.Keep Me updated whenever needed , 24 x 7, to help you out by even,online tips for You, on weekly basis. Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS </s>