Conversation: The conversation between human and AI assistant.
[|Human|] Male 27 y/r 5 6 217lbs pain in left & right side chest that comes and goes also suffer from panic and gerd and costochondritis blood pressure readings have been systolic 110-128 -- diastolic 68-82 for the last week.. is there a concern for a heart attack
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry. I will try to explain you something and give you my opinion. A typical heart pain has some characteristics. They are retro-sternal pains likes quizzing, tightness or heaviness. They may irradiate to both arms, jaw and last from 5 to 20 minutes. A typical heart pain and heart attack usually affect older ages and persons with different risk factors like hypertension, diabetes, smokers and with hereditary of ischemic heart disease. As you are very young, and you have not a typical pain the risk of heart attach is low (rare). In my opinion you have nothing to worry about because these pains are probably related to Herd or your Costco Chat Doctor. HERD is quite known to give such pains like heart burning sensations. Anyway if this symptoms persist after treating HERD I will recommend to do some simple examinations like an electrocardiogram, a cardiac echo and a street test. Hope I was helpful. Wish you good health. Best regards.