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

### input:
My mean red blood cel distrib.width is flagged above normal range 14.2% this is constantly the case along with ESR. reading of 32mm/h above normal range. I am getting gripping pain in my chest and top of right arm. BP slightly raised and breathlessness on climbing stairs. My Father died aged 59 with heart disease/angina his Mother at 62 yrs.old and his Brother at 57 yrs. old n ot heavy smokers or greatly overweight and all virtually non drinkers. I am concerned my symptoms are being passed of as polymyalgia rheumatica and was given steroids on and off for past 4 yrs. they do stop the painful joints but on stopping them after 2-3 wks and in pain in every joint. I am 58 yrs. old probably a stone and half over weight but still try and keep active..walking lots and light exercise and good diet.Should I insist on further tests for heart disease? many thanks Patricia

### output:

Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as you are active and doing exercise. But better to get done screening for heart diseases as you are having strong family history of heart diseases. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes, musculoskeletal pain can also cause similar symptoms. So avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.