Conversation: The conversation between human and AI assistant.
[|Human|] was having chest pain, tingling in hands, shortness of breath and hurting in middle of shoulder blades and racing of heart when I was laying down. took a nitro and symtoms dissolved except for racing of heart. this has been about 45 minutes ago. should I go to the hospital is my question. I am 49 year old. thanks, Gloria E. Dunn YYYY@YYYY
[|AI|]  Hello dear, thanks for your question on Chat Doctor. Yes, you should immediately consult cardiologist because your chest pain looks cardiac (ischemia) only. Heart racing, shoulder pain, relieved by nitrate are classic features of cardiac origin chest pain. So don't wait at home. Consult cardiologist immediately and get done1. Ecg2. 2d echo3. Stress test4. Coronary angiography if required. You are mostly having coronary artery disease. So better to consult cardiologist and start appropriate treatment.