Conversation: The conversation between human and AI assistant.
[|Human|] I am 23, 51, and about 175 pounds. I was born with pulmonary valve stenosis and had angioplasty done as an infant and at 5 years old. I just visited a cardiologist that told me I had a leaking valve, and that I should be fine. I didnt mention that Im a social smoker, and Ive just been feeling very lousy. My chest gets tight, my heart races so much that I get dizzy spells, my legs swell, I cant breathe well when I lay down, and I sometimes get coughing spells. Should I be worried?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely worry about your symptoms. You're all symptoms like chest tightness, racing heart rate, swelling in legs, breathing difficulty in lying down position etc. are suggestive of heart failure. You are having congenital valvular heart disease. And this can cause congestive heart failure. So better to consult cardiologist and get done clinical examination and 2d echo. You may need valvular replacement surgery. So don't wait at home, rush to the hospital. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.