Conversation: The conversation between human and AI assistant.
[|Human|] i am a 42 f, i Have been having intermittent chest pain for almost a week. Two nights ago i had pressure in the chest and ufllness feeling.. I mentioned to my doctor on Monday that I had been havin gthe pain but thought it was from taking synthroid and she took me off it, but I am still having the pain periodically. AM I having or have had a aheart attack?
[|AI|]  Hello welcome to Chat Doctor. Your symptoms may suggest that they are of cardiac origin. However, what you are suffering from may be angina which is a risk factor for a heart attack. It is unlikely that you have sustained a heart attack, but you are at the risk of having one. That's why I suggest you to get a cardiac evaluation. Please do an ECG, 2d echo. ECG will show the hearts electrical activity and changes of angina. 2 d echo will show the pumping function of the heart, the structure of heart muscles, its valves and leak between the valves if present. This will give an indication whether you have already sustained a heart attack. If both ECG and 2 d echo are normal, you must do a treadmill test or stress test which requires you to walk on a treadmill while your ECG is continuously being monitored. This will predict of you have any blockages in the heart and predict if you are at the risk of a heart attack. Please do the above tests and revert with the results. Wishing you good healthRegards