Why does angina cause fatigue? 

Angina by definition is a transient Ischaemic  episodes not leading to  cellular death. As  such it should not cause chronic fatigue. However, during an anginal episode, if the ischaemic territory is large enough or if critical component of the heart are involved (e.g. Papillary muscles and mitral valve), then it may be associated with fatigue and/or shortness of breath

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