Conversation: The conversation between human and AI assistant.
[|Human|] Everytime i cough my heart hurts. its not my chest it feels like its just my heart. also for the last month or so my chest has been hurting with pains in my left arm and through my shoulder blade. i am only a 28 yr old female. could i maybe be have a heart attack
[|AI|]  Hi, Thanks for your question. After going through your question, I can understand your concern. Left side chest pain radiating to left shoulder and arm (as in your case, it was present in last month) is most likely related to heart. Chest pain associated with deep breathing or cough may be related to respiratory system. In your case you need evaluation for heart disease. Though you are of 28 years, presence of diabetes, Blood or cholesterol problem or family history of heart disease increases the possibility of heart disease. I will advise you to consult your physician for detailed clinical Examination. Following investigation may help on making appropriate diagnosis and treatment - 1) ECG 2) 2DEcho. 3) Lipid profile. 4) Chest X-ray. 5) Complete blood count. Hope this helps you, if so do vote as helpful.