Conversation: The conversation between human and AI assistant.
[|Human|] 41 yr old, 285 lbs and 6 3 , after a cardiac angiogram was diagnosed with 60 % blockage in mid-LAD in december, 2009. Used to experience some minor pain (probably angina) during excercise but would go away after stopping. However since I went on a statin and started taking exforge for high bp the pain has not returned. However, at times I feel lightheaded (have for years) which will last for an entire day although doesn t occur as often as before and recently started noticing a heavier chest upon breathing. Again, nothing major but obviously anything I can notice that doesn t go away after a day or 2 I start to wonder about. What should I do as I m scared to go see cardio again in fear of time to do angioplasty and stent.
[|AI|]  Hello, In view of your recent chest discomfort (heaviness), you need to undergo coronary angiography (CAG) again and angioplasty/stenting, if indicated.  Your previous CAG was in 2009 and almost 10 years have passed since then. What is your resting ECG now? For transient lightheadedness, arrhythmia (particularly bradyarrhythmia) needs to be ruled out.  Holder or event monitors may permit correlation of symptoms with the cardiac rhythm. Cardiac consultation is justified. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.