Conversation: The conversation between human and AI assistant.
[|Human|] Im 29. I smoke. Ive had bad panic attacks in the past. Havent had one for years though. The last couple of months Ive been haveing this annoying pain inbehind my left shoulder blade can last to a few hours or a whole day. And now twice this month ive had really bad heart pains like someone sticking you with a needle and like a burning feeling. The pain is worse in sleeping positions and really really bad sweats, all night long sweats very hard time sleeping. So what do u think?
[|AI|]  Hello, Brief Answer: Shoulder pain is not related to a heart condition, mostly tendinitis or bursitis. Heartburn and night sweats may need some attention. Explanation: My opinion is that ischemic heart disease is a bit of concern. Risk factors such as diabetes, hypertension, smoking, and lifestyle are leading causes. Chest pain you describe may need more investigations. Sweating that is related to chest pain or effort is also a symptom of ischemic heart disease. Shoulder pain you describe is mostly not related to other symptoms. I suggest my patients the following: Full medical history clinical examination and some laboratory investigations and electrocardiography. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition, I would ask them about other risk factors. Conclusion: I suggest you check with your physician. Quit smoking and modify your lifestyle. Hope I have answered your query. Let me know if I can assist you further.