<s>[INST] Hi doctor, One year ago, I had chest pain. I thought that it is may be due to some excessive spicy food I took the last night and also I did not sleep till late due to some work. So, I just ignored it and left for my work. That day, I had to go somewhere driving myself and I thought it as just a minor chest pain and will go away eventually. Hence, I left with my car driving myself. That pain did not go away rather stayed with me the whole day and by afternoon, it became worse. That day I was so busy and I was almost with empty stomach. So, I had some food and thought it would go away. I felt a little better for some time, but the pain was still there. At evening, I had to admit to a hospital and they gave me medication like Sorbitrate, etc., but the pain was there. I was not fainted, but I felt that I am going to be. The hospital suggested for ICU and when they were taking me there, I suddenly felt fine. The pain went away out of the blue; I sat up on my bed from lying down and was feeling that I can go running now, just like nothing happened to me. Still, doctors suggested an ICU and I got admitted. They did all tests in the next two days and discharged me with a suggestion of an angiogram. I got angiogram within a week and the report came normal. Now, my problem is, sometimes I feel very little chest pain, which is usually sharp. But, it is sometimes vague in various areas of my upper body. I do not know what my problem is. Can you please check my reports? That incident occurred one year back and I just recently did some usual basic tests. Please tell me your suggestion. Thank you. [/INST] Hi. I want to assure you, do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case, reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. 1. You have got a normal coronary angiography report. Nothing found abnormal in it. 2. There is nothing serious seen in echocardiogram attached here. 3. Your blood work done recently has been totally unremarkable and there is no harm seen. No lipid profile derangement to pose a cardiac risk. 4. But, you had supraventricular tachycardia of unknown origin with chest pain one year back. Such a pain is usually seen in young adults who remain busy in their daily life routine. This is the disease of the modern era. 5. People have more stress at work, take very less rest, take little quality sleep, do not exercise, take a junk diet and take less nutritious diets. Fluid and electrolyte imbalances and nutrient deficiency leads to muscular weakness and the ache. 6. Undefined painful chest areas are also a problem with smokers and alcoholics. If you take alcohol, smoke or use any other illicit drug, please try to leave that. I want to run a battery of some tests that are necessary to be done right now. Once you get the reports, upload in a follow up. HBSAg (hepatitis B surface antigen), Anti-HCV (hepatitis C virus), vitamin D levels, vitamin B12 levels, LFTs (liver function tests) and RFTs (renal function tests). 1. I suggest Excedrin (combination of Acetaminophen, Aspirin and Caffeine) daily after breakfast for three days. Then, take it only at the time you feel pain. Try to avoid as much as you can but if unbearable, then it is fine to take. 2. Citrucel (Methylcellulose) dietary fiber supplement. 3. Tablet Surbex-Z - multivitamin once daily and continue for a month. 4. Start jogging; 10,000 steps daily at a healthy pace is your goal. It gives endurance, muscular power and many more benefits.  Consult a specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the reports to a cardiologist online.---> </s>