### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi I could really use some advice,Im a 30 year old male and woke yesterday morning to the most horrific chest pain,it feels like someone is physically squeezing my heart,the intense pain lasts for about an hour and then Im exhausted and get chills,Im getting intermittent Sharp pains across my entire chest,pain between shoulder blades,some neck pain and headache very pale,I hav also been suffering from chronic insomnia for almost a year,i went to my g.p yesterday and explained my symptoms,she checked my b.p which was 140/80..pulse rate was 86,she merely brush me off telling me it was anxiety,this does not feel like anxiety,also I woke this morning to find a large area of black or bruised skin under my left armpit close to heart,also numbness and tingling In my right arm,I know this is a long list but I need some advice as to how i proceed from here,please can someone help me

### output:

Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms seem to be related to inflammation or an infection. Zoster infection can not be excluded either. I recommend consulting as soon as possible with your attending physician for a careful physical exam and some tests: - a resting ECG- a chest X-ray study-blood work (complete blood count, PCR, sedimentation rate, coagulation tests, blood electrolytes, kidney and liver function tests). Further tests may be needed to establish the possible cause. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards, 