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

### input:
Hi, I m 41, have no health problems, and eat reasonably healthily. I weight 57kg and 1.57cm tall, have never been overweight, can eat what I want. A month ago I started getting what feels like indigestion, my chest kind of feels heavy and a pain in my upper back with it sometimes, I can wake up in the night with it sometimes, or have it when I wake in the morning, I normally eat dinner around 6pm at night, so am not eating late before I go to bed. I also have a tightening in the upper left arm sometimes as well. I haven t had a medical check in a while, so will get one soon. I ve never had high blood pressure before and never any problems. The heartburn type feeling has only started in the last month or so, but I have had the tightening feeling in upper left arm off and on for a few years. My father had a quadruple by pass after a heart attack when he was in his 60 s. Several years before he had his heart attack he had had lots of symptoms, but no high blood pressure, high cholesterol etc, he had lots of tests, dye test etc and was told everything was clear, and his heart was very healthy and he would never have heart problems, several years later the same heart surgeon is operating on him. Quiet worrying that you can have lots of symptoms and not be diagnosed until you actually have a heart attack. Do you think my symptoms sound concerning? I probably wouldn t have been worried just having the indigestion, but the pressure in the left arm has sometimes worried me. Thanks.

### output:

Hi Thereafter going through your medical details provided by you, I want to tell you that YES your symptoms are alarming and look like a typical ANGINA equivalents. Also, you have a family history of coronary artery disease, so it makes you more vulnerable to have one. So my advice to you is that consult a cardiologist in person as soon as possible, and you need to get an ANGIOGRAPHY done to see the coronary status. Till that time I would like to suggest avoiding serious physical activities, and keep a tablet of sublingual ARBITRATE in your pocket in case of any severe chest discomfort. Good Luck