Conversation: The conversation between human and AI assistant.
[|Human|] I am a 59 year old heart patient. I have 5 stents in the last 12 years.I have a persistent pain in the upper left chest maybe 3 inches down from the neck/shoulder. The pain also is in my left upper arm. I have had a dizzy feeling for the past 6 days.......
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that heart pains have some characteristics.  They are usually retro-sternal pains likes quizzing, tightness or heaviness.  They may to both arms, neck and jaw. They last from 5 to 20 minutes. They might be associated with nausea, tachycardia, difficulties in breathing deeply, dizziness. But, heart pains might be also atomic, meaning that they do not have the upper characteristics. As you previously had stent it means that you suffer from coronary artery disease, and you are at higher RISC to have problems again thigh you arteries or the stents that you have. As you explain, your symptoms are not typical for heart pains. Even this it is necessary to make some examination. If I was your treating doctor I will recommend a cardiac echo to evaluate heart function, a full blood analyze with cardiac enzymes and if it is possible a stress test to exclude active coronary artery disease. After this we can be sure if it is something to worry about or not. Hope I was helpful. Wish you good health. Best regards.