Conversation: The conversation between human and AI assistant.
[|Human|] I have been having chest pains and aching in my chest. It will shoot out of the left arm pit. And not I have some weird feeling like a thump that will happen sometime once a day to once or twice an hour. I had open heart surgery when I was ten due to heart murmer because I had a whole in my heart that all the dirty blood was going into the clean blood since I was ten never really had problems until I got pregnant in 2008 and now as time passes it is like they are gerttinf worse the chest pains. I always blow them off because I m still standing or sitting after one and o haven t feel out yet. What is going on and how can I get into a heart doctor asap with no insurance???
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you should consult cardiologist and get done few tests for evaluation. Since you had heart surgery and cardiac problems in pregnancy, I think we need to rule out valvular heart disease and endocarditis first. So get done 1. ECG2. 2D ECHO. If valvular heart disease or endocarditis is there than these tests can identify it. So consult cardiologist and discuss all these.