Conversation: The conversation between human and AI assistant.
[|Human|] hi I ave had chest pain on and off for the last 6mths, i am female 40yrs, smoker, crohns disease.Last mont stared to get worse with stress, the pain goes up to my shoulder through my back and down my left arm.Last week doctor done ecg and it said possible right atrial hypertrophy with poor R progression in right precordial leads with normal synus rythmn. At present i am experiencin bad chest pain after hot bath causing me to slouch over.What should i do?
[|AI|]  Hi, Most probably your pain is caused by spine problems, if you have pain at the moment, take Ibuprofen 400 mg. About atrial hypertrophy; ECG is not sensitive for detecting atrial hypertrophy, it means that in majority of cases there is no atrial hypertrophy when on ECG we suspect it. To detect atrial hypertrophy one should undergo echocardiography. To rule out cardiac origin of your pain you should undergo stress test. Take fearsome back if you have any further questions