Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dear, Dr. Samuel. N. Grief I am 36 years old, 1.68 cm, 64 kg. I had problem in my heart valve in the past but by medicating it is removed. Now I think I have any thing else in my heart. when I am nervous about study, my children and how I can manage them I breathe quickly and sometimes I have a pain in my chest. I am an active woman, play swimming two or three times in a week and walking a lot. During going up stairs or play swimming fast I have short breath and it bothered me because I am not weak. I would be grateful if you could consult me.with best regard.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Since you had valvular heart disease in the past, we must rule out heart related diseases like heart failure or coronary artery disease (CAD) for your current symptoms. Because heart failure and CAD are common after valvular heart disease and cause similar symptoms like breathlessness on exertion and chest pain. So get done ECG, 2d echo and stress test (trade mill test) first. You may need diuretics and other cardiac supportive Chat Doctor.  Don't worry, you will be alright with appropriate treatment. Consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.