Conversation: The conversation between human and AI assistant.
[|Human|] Hi there, my enquiry is about chest pain.  I had my first episode of chest pain in 2003.  It was in the morning, shortly after I woke.  I went to my GP who arranged for me to see at doctor ata the hospital.  I was given an ecg and a tredamill test.  Everything was normal except for the fact the doctors discovered I had a murmer but the doctors felt that at that time it did not need any attention.  Since then, I have had many chest pains which pass and as a result I have done no more about it.  They do not occur as a result of exertion, always at rest.  The other evening, it happened again but this time, it was more severe and lasted longer, about ten minutes.  It feels like a tightness in my chest and I become breathless.  At the same time, I feel pain in my mouth/jaw?  I also noticed that the pain was coming in waves.  I am female and 53 years old.  I would be grateful for any advice.  Regards.  I am 5.1" and overweight and I am a smoker.
[|AI|]  Hello! Thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms do not seem to be related to any cardiac disorders. The heart murmur has not any clinical significance, considering your symptomatology. For this reason, I would recommend performing further tests to investigate for the possible underlying causes: - a chest X-ray study - a cervico-thoracic spine X-ray study for possible bulging disk which may cause irradiating pain in this region- inflammation tests (PCR, sedimentation rate, complete blood count). If all the above tests result normal, you should consider anxiety as a possible cause of these symptoms, because it may mimic all this clinical scenario. Hope you will find this answer helpful! Kind regards,