Conversation: The conversation between human and AI assistant.
[|Human|] Hi i have been having what feels like chronic chest pain i have had an ekg and chest x rays and blood wrok all was normal except my chloesterol can back as 286 can i rule out angina and CAD because of the ekg and chest x ray as the doctors are saying it just heartburn
[|AI|]  Hi, Chronic chest pain cannot be totally ruled out by a resting ECG and X-rays. In fact, persons with coronary artery disease may have a normal resting ECG. And a better work-up to rule out a cardiac source of chest pain is to undergo stress testing - either stress Echo or just a plain treadmill ECG stress test, whichever is available. Considering that you have another risk factor for atherosclerosis which is your elevated cholesterol levels, it is noteworthy to check a cardiac cause rather than the lesser serious causes like gastrointestinal causes. Hope I have answered your query. Let me know if I can assist you further.