Conversation: The conversation between human and AI assistant.
[|Human|] I have been feeling fatigued and malaise for the last several months. I get short of breath with heaviness in my chest walking short distances. My feet and legs have been swelling and sometimes I feel like I am swollen from the toes up to my chest. I have had intermittent palpitations and twinges in my left chest intermittently. I have never had high BP but yesterday my BP was 160/88. I am 49 years old. My last total cholesterol was I think 200 or so. Are these symptoms to be concerned about?
[|AI|]  Hi thereafter going through your query I understand your concern. I would like to tell you that chest heaviness along with shortness of breath and intermittent palpitation can be because of an underlying heart disease. We can call this Angina on Exertion class 3. Evaluation for this is required.It's advisable for you to get an ECG, Echocardiography, Chest X-Ray and a TMT test done and personally consult a cardiologist with the reports for treatment properly. Hopefully this will answer your query. Kind Regards Chat Doctor.