Conversation: The conversation between human and AI assistant.
[|Human|] my 24 year old son has had recurrent chest pain. He has visited the er on at least 2 occasions for this. THe first visit he had a heart rate in the 30 s with normal b/p readings. He had to wear a heart monitor for 24 hours, apparently with no abnormalities. He has passed out at work before. He generally doesn t feel well. He does take Lithum and is monitored for levels as he has had a critical high level approx. 1 year ago. His blood was drawn last night in the ER and they stated it was abnormal and was being sent away. He is 6 3 , 165lbs and a smoker. Any thoughts would be appreciate. We live in an extremely rural area. Eastern Maine Medical Center in Bangor is 95 miles away. Any thoughts would be appreciated. Janet
[|AI|]  Hi, I understand your concern and would explain that your sons' heart rate seems to be little low (30 bpm). Bradycardia does not explain chest pain, but may lead to fatigue and shortness of breath. I would like to review his ECG report for a more professional opinion.  As he is taking Lithium, anxiety can not be excluded either. Anyway, I would recommend performing some further tests: - a fibrogastroscopy for possible HERD or esophageal spasms- a chest X-ray study and pulmonary function tests-complete blood count, PCR, ESR for inflammation- an exercise cardiac stress test to investigate for coronary artery disease.  You should discuss with his doctor on the above tests.  Hope I have answered your query. Let me know if I can assist you further.