Conversation: The conversation between human and AI assistant.
[|Human|] My heart flutters, I feel VERY slight pressure in my chest, I feel an odd sensation in my head and a hear a "sush-sush" in my ears.  I notice it more when standing. Should I be concerned? Just started today.  I am 49, I weight 167 lbs (5 feet 9 inches) no history of heart disease. No medications.  Have had prolonged leg pain that is gradually worsening and swelling in ankles.
[|AI|]  Hello, Thank you for your query. I urge you to seek medical attention right away. This could be an ongoing heart attack or a stage which may lead to it. Your symptoms are indicative of cardiovascular compromise and needs evaluation. Caught early, treatment can prevent heart muscle damage and related complications. -any family history of heart disease, diabetes, hypertension, sudden death, arrhythmia (heart rhythm disturbances)? -do you smoke or consume alcohol? I recommend :-if symptoms persist or worsen, go to the ER right away.  Do not Chat Doctor.  Take someone along. -a physician consult. -an electrocardiogram, echocardiogram. -blood tests (complete blood count, lipid profile, Thyroid panel, blood glucose levels, cardiac enzymes to check for heart muscle damage, kidney and liver function tests) -it may just be gas, but it is vital to rule out heart pathology. (even if you have no prior illness). Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health