Conversation: The conversation between human and AI assistant.
[|Human|] my mom says she is suffering from chest for the last one year. she had High BP complaint for about 10 years. a year back she got operated for hysterectomy. recently she complained a bit severe chest pain. i took him to a cardialogist nearby and was asked to carry out all tests. she is diagnosed with FBS of 135 mg/dL and PLBS of 235 mg/dL.LDL cholesterol of 120 mg/dL. In LFT, ALT was 73 U/L and AST was 38 U/L. In CUE blood was ++ and  Leucocytes was ++. Pus cells was 10-12/hpf and RBC was 6-8/hpf. rest were normal. she got post prandial angina and rest angina. my doctor also asked to go for an angiogram ASAP.  i would like to seek for an opinion not to pint out my cardiologists view but for clear understanding. i request you please suggest as soon as possible.
[|AI|]  Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. Chest pain can be elicited by many origins. It can come from the coronary arteries, from linings within the rib cage, from lungs, the esophagus, the stomach etc. Without further details, I would like to describe the angina. Angina (pain originated by blockages in coronary arteries) is more described like a heaviness or tenderness or squeezing sensation in the mid-chest, rather than clear-cut pain. It then can spread to the jaw, left wing, shoulder and arm. This is more triggered by physical activity, but, when the blockage reaches critical measures and/or the atherosclerotic plaque is unstable, it can happen in more frequent episodes, with less physical activity and, even, at rest. Furthermore, angina is the way of the heart to "scream for help" because it is not getting enough oxygen and nutrient supply. This kind of pain, if it is angina, happening at rest, demands a coronary angiogram, to quantitatively assess the possible blockage within the coronary artery, and to plan a strategy for treating it (with stents, merely medication or coronary artery bypass grafting). After carefully assessing and discerning about what kind of pain is this, and if it would sound like angina to me, I would also recommend a coronary angiogram as soon as possible. Of course, we only give recommendations. The choice is up to you. Good luck. I hope I was helpful with my answer. Take care. Kind regards,