Conversation: The conversation between human and AI assistant.
[|Human|] I feel a quick tightening in the middle of my chest and now I got a "chilly" feeling through my body, My chest stings, it does not "hurt" just stings, my left shoulder aches. I feel cold from head to toe. Now my heart beats quicker for like 2-3 beats and returns to normal. I have a history of anxiety, depression, I am type 2 diabetes. My total cholesterol is 102. I am 5 ft 6 inches tall 324 pounds, and I smoke approx 8-10 cigarettes a day. I am on Metformin, gemfibrizol, and rantadine, along with a birth control pill because I have disfunctional uterine bleeding. Should I visit the er?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely visit emergency room and rule out heart diseases. You have the following risk factors for heart diseases. 1.  Smoking 2. Diabetes 3. Obesity 4. Birth control pills. And your symptoms are more in favor of heart diseases like hypertension, arrhythmia, coronary artery disease. So immediately consult emergency department and get done blood pressure monitoring, ECG, 2d echo and coronary angiography if required. Strict control of diabetes and weight reduction are needed. And quit smoking as soon as possible. Don't wait at home, rule out heart diseases because without treatment these can be life-threatening. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.