Conversation: The conversation between human and AI assistant.
[|Human|] Hello. I am a 38 y/o female. I ve had stents put in my legs due to poor circulation. I know I ve got significant plaque build up in coratic artery & some plaque buildup in abdominal arorta. Well the last 3 weeks or so I ve been feeling discomfort that comes & goes in my upper abdomen (center & under or behind left breast). It s really hard to pinpoint exact location but I feel a lot of pressure there. It usually only lasts few minutes. Today the pain came & lasted about an hour. I was also feeling some pain in my neck & feeling a little shorter breathe than normal. I went home laid down and fell asleep. I felt better after I woke up but I still feel little discomfort every now & then & i feel extremely exhausted. Should this be something to go to ER over? Especially since I feel a little better now?
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms could be indicative of coronary artery disease. A musculoskeletal pain can not be excluded either. Anyway, considering your past medical history, I would recommend going to the ER for a careful physical exam and some tests: - a resting ECG and cardiac enzymes- a cardiac ultrasound - a chest X-ray study-complete blood count, PCR, ESR for inflammationFurther tests to investigate for coronary artery disease could be necessary: - a Dobutamine stress echo- a perfusion cardiac stress tests or - a coronary Anglo CT scan. Hope you will find this answer helpful! Kind regards,