Conversation: The conversation between human and AI assistant.
[|Human|] I am 44 years old. I work as teacher.I suffer a dull aching pain in the chest since 2 months, located behind the sternum. not related to exercise, but present all the time. It increases after a long day of work talking for more than 5 hours. ECG normal. Now the pain is getting increased and diffused all around my chest from anterior and sides. I even have some dyspnea when talking. Lab investigations: very low diabetes, high uric acid level, and slightly high cholesterol. I am slightly overweight and have sedentary life.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Yes, high cholesterol can cause chest pain. In my opinion, we should rule out cardiac cause for chest pain. You are having three risk factors for heart diseases. Diabetes, high cholesterol, sedentary lifestyle. All these can lead to coronary artery disease (CAD). In early stages of CAD, resting ECG cannot be normal. So you should definitely get done 2d echo, stress test (trade mill test) and coronary angiography (if required) for the diagnosis of CAD. Strict control of diabetes, cholesterol level and weight reduction is needed. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.