instruction: hello doctor I have chest pain and shortness of breath it started on 16th march since then it is still present continued discomfort in chest and back I am on my of atorvastatin
output: hello I have gone through your reports resting egg and echo showed no abnormalities and stress test does not show any abnormalities although could not be completed so we cannot be certain that this is not cardiac pain but appears to be less likely so you should undergo further testing with either pharmacological stress test or it computed tomography coronary angiography now normal bop brain natriuretic peptide level is against cardiac cause for shortness of breath your thyearoid shows significant abnormalities you need to be on thyearoid supplements like eltroxin and should begin as soon as possible now do you get this chest heaviness at rest or on exertion if this heaviness occurs at rest only then possibility of other causes like acid reflux should also be considered especially if you have other symptoms you should try antacid then if heaviness classically occurs on exertion and relieves with rest then strongly suggest cardiac cause only and then should undergo further cardiac resting so possibility of non cardiac cause should also be suspected however should undergo further cardiac evaluation I hope this helps