Conversation: The conversation between human and AI assistant.
[|Human|] I m trying to decide if I m having a heart attack or a panic attack. I get very nerveous, then start hurting in my chest, then cones the tigleling, stinging pain down my left arm. when the heart slows down then a real tighting gripping pain stays in my chest for a long time before it stops hurting
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you are having anxiety related panic symptoms mostly. But as a rule in chest pain, we need to rule out cardiac cause first. So get done1. ECG2. 2D Echo. To rule out cardiac cause. If both are normal than no need to worry much. It is mostly anxiety related only. I advise you to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it. You may need anxiolytic Chat Doctor.  So better to avoid stress and tension. Be relax and calm.