Conversation: The conversation between human and AI assistant.
[|Human|] My husband has been having chest pains on and off for months. Has been to the ER three times in a year. All test checked out ok. Has not had an angiogram due to not having insurance. Has taken 24 nitro 0.04 in a 9 day span. The nitro relieves the pain, which always seems to happen a night before bed. What to do?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your husbands' situation. In my opinion, he is having anginal pain due to coronary artery disease (CAD). Following points are in favor of CAD associated anginal pain. 1. Recurrent chest pain. 2. Relieved with nitrates.3. Chest pain at bedtime in night.  Nitrates cause coronary vasodilation. So anginal pain will be reduced. So better to get done stress test (trade mill test) first if you are not affording for Angiography. Stress test is also helpful in diagnosis of CAD. But the gold standard test is coronary Angiography. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.