When I was still taking new patients younger female with dizziness and chest pain was not an uncommon complaint. Are you going to cath every one of them? Otherwise why the “obvious” cardiology referral?

Obviously cardiac causes need to be ruled out but a month of constant chest pressure and dizziness in an (assumed) healthy young female (I’ll also assume normal vitals, EKG, and ESR/CRP maybe troponin as part of the normal blood tests she’s had done) does not scream cardiac to me.

I’ll argue a good PCP can actually prevent the specialist merry go round that usually comes from cases like this. One specialty (often a mid level) refers to another specialty (again often their midlevel). The doc will do their procedures, find nothing in their area and have them go back to seeing their midlevel who then refers to the next specialty.

My advice would be make sure you have a good PCP and let them do their work up, being aware that these symptoms can definitely portend bad stuff and need to be worked up seriously but most commonly end up being diagnosed as psychogenic in this population group.