Hi I have pulmonary Hypertension with CHF enlarged spleen and problems with elevated liver enzymes. I also have intercranial hypertension. Wed I developed a headache which I get alot. Did not feel well on Thurs then on Friday I began getting really dizzy ( I feel like I just got off an amusment park ride) and developled pain in my left shoulder that goes down my arm. I am extremely tired only able to stay awake for about an hour before needing to lay down and sleep. I am debating on waiting it out to see my Dr. next week or the ER. What would you do if you were me?