Conversation: The conversation between human and AI assistant.
[|Human|] I had a cardiac ablation of the sinus node on Dec 14, 2011, and then a pacemaker insertion on Dec. 30, 2011. When I was discharged from the hospital, I was dx with pericarditis. Sx resolved, but now 5 weeks after pm insertion, I am having intermittent chest pain on the mid to left side, radiating to the neck. Pain increases with deep inspiration, laughter, lying down. Do you think the pericarditis has recurred? Thank you.
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. The pains that you explain resembles pericardial or pleuritic pains. They are pains that get higher in deep breaths, when a person lean forward. Ischemic heart pains are not related with position or inspiration. Inflamation of pericardial layers or pleura gives symptoms like yours. If you previously had pericarditis it is still possible experience chest pains even after some weeks, during the resolving phase. But to decide what we are dealing with if I was your treating doctor I will recommend some examination like a cardiac echo to evaluate heart function and pericardia, a fool blood analyze and inflammatory parameters like PCR to see for any active infection. After this examination it is possible to understand something and how to deal with it. Hope I was helpful. Bestregards, Chat Doctor.