Conversation: The conversation between human and AI assistant.
[|Human|] i have been diagnosed as having impaired glucose tolerance. In the last one week I have been experiencing a tightness in my upper chest and throat.  I have had an Xray done and everything appears normal. My face appears bloated.  I am a 57 year-old woman
[|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. You should know that typical heart pains have some characteristics. Usaly they are retro-sternal, upper chest pains likes quizzing, tightness or heaviness. They high irradiate to both arms, neck and jaw. They last from 5-20 minutes and usually start during a physical activity. The fact that you have an impaired glucose tolerant makes you at higher RISC for cardiovascular disease. So, as you are experiencing chest pains my opinion is that you should do some examinations. I would recommend an electrocardiogram, a cardiac echo, cardiac enzymes and a street test. After this you might be sure that's nothing to worry about or something else that should be resolved. Hope I was helpful. Best regards, Chat Doctor.