Conversation: The conversation between human and AI assistant.
[|Human|] I had a pacemaker 3 months ago.  I get a lot of chest pain, which the cardiologist says is coronary artery spasm, but it seems to be coming from the pacemaker.  I have had it checked, all is ok and is pacing 95%.  But I still have pain.  I take 25mgs metoprolol twice a day.  Do I just have to put up with this, or can something be done?  I am 68, weigh 46 kilos and am 151 cm
[|AI|]  Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Chest pain can be due to many reasons, that are HD, muscle pain or due to bone injury .if u were my patent I would like to ask detail history like nature of pain, aggravating factor like pain inc with pressure is most likely muscular, radtiatnig or not n location of pain .do detail exam n then run some test like chest x-ray to see is there a bone injury, ECG to rule HD, angio if ended to see isn't it coronary artery stenosis,.if it is due to spasm then I would advise taking calcium Chanel blocker BCS it is better than beta blocker n if it is BCS of other issue then will TX u on that path. I hope this answered your question, if you have more feel free to ask. Regards.