Conversation: The conversation between human and AI assistant.
[|Human|] AS im about to fall asleep i find my left arm geting numb or tingly and my heart beats so hard and fast. this happends evry time im about to doze off. today i had pains in my chest that woke me up. not like having a heart attach but like i was alying wrong . could this be a sign?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should definitely rule out heart diseases first because left arm numbness, fast heart beats, chest etc. are classical symptoms of Coronary artery disease (CAD). So better to get done ECG, 2d echo, trade mill test (stress test) and coronary Angiography (if required). If all these are normal then no need to worry about heart diseases. Some stress and anxiety also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. Don't worry, you will be alright, but first rule out cardiac diseases. Hope I have solved your query. Wish you good health. Thanks.