Conversation: The conversation between human and AI assistant.
[|Human|] I have pins & needles across my chest and starting to go down my left arm, the sensation started this morning and comes & goes within a few seconds.   I am a dibetic & have had heart surgery could you give me some idea what might cause it.   I am a 76 year old male reasonably fit walk often & play golf twice a week.
[|AI|]  Hello! Welcome to Chat Doctor, and thank you for your question! I understand your concern, and would explain that your symptoms coupled with your past medical history are very concerning for a possible coronary artery disease. I recommend going to the ER for a careful physical examination, a resting ECG, a chest x-ray and some lab tests : fasting glucose, complete blood count, kidney and liver function tests, blood electrolytes and cardiac enzymes to exclude possible acute coronary disease. Further, tests (like a coronary angiography, etc.) may be needed if suspicions are raised. Hope to have been helpful! Best wishes,