Conversation: The conversation between human and AI assistant.
[|Human|] I am a 61 year young female.  I have been waking up with tingling in the chest radiating to both arms.  This started about two months ago.  I wake up often during the night and have this going on.  I do not have pressure, just the tingling.  I do not have any major medical problems.  I do take a blood pressure pill daily.
[|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. This tingling sensation has to do with a rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that you feel like a tingling sensation, you might experience palpitation, dizziness,difficulties in breathing deeply. This rhythm issue might happen for different reasons like stress, pathologys like anemia, hyperthyroidism,electrolyte imbalances, ischemic heart disease, cardiovascular anomalies etc. So, to better understand what we are dealing with, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism and the most important one a holder rhythm monitoring to evaluate your rhythm tendency and a street test if it is possible to exclude ischemic heart disease. Only after this we can understand what is this tingling sensation and how to treat it. Hope I was helpful Best regards, Chat Doctor.