<s>[INST] hello my name is chris and lately ive been having heart problems, well ive had them for a few years now and now I am 20 and they are getting worse the past few days have been really bad ive been getting shortness of breath like I cant breath all the way my left ear gets dumb my left side neck muscle tightens up and my heart keeps getting this really sharp pain, like I almost went to the hospital it hurt that bad and also my family is known for heart problems at a young age please write back as soon as possible because its hurting right now but not as bad its been messing with me all day [/INST] Well come to HCMThank for asking, your query being appreciated, you have not mentioned what kind of problem you had, right now the chest pain needs to be ruled out for the cardiac disease, what you call heart pain that may not be the same but it could be chest pain and most of the time it is due to muscular spasm, if you want to rule out the cardiac disease then better to get done the EKG and ECHO and other cardiac evaluation tests, without these doubt can not be cleared or the cardiac disease will not the rule out, other stated symptoms of ear and muscular pain could be nonspecific or insignificant unless clinically proved some kind of illness else it is nothing to worry hope this information helps. </s>