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

### input:
I am a 55 yr female, in good health. In the last several weeks, getting a sharp punching pain in the center of my chest. Happens during the day while working, or in the evening while resting, watching TV. Sometimes it will hit 4-6 times a day, but then 2-3 days nothing. Have been extra tired lately, feeling like I am drained, and want to sleep my life away. Having headaches more than usually. There are times when heart feels like it is racing. I work in a deli, where it can become stressful at times. Notsure what is going on, but ddon t want panic. Heart disease runs on both sides of my family. There are times when I feel a heavy feeling in my left chest are and sharp pain between my shoulders, but it doesn t last very long, and only happens once in a blue moon.

### output:

Hello, i have gone through your history. Your complaint is suggestive of stable angina sectors. The chest pain which results due to decreased blood supply to heart is known as angina sectors. And when angina occurs on exertion we call it stable angina. You have already strong family history. So you must be careful. You must go for resting ECG and echocardiogram along with lipid profile and blood sugar estimation. Depending on reports you may need coronary angiography to decide whether medicines will be enough to protect you against heart attack or you will angioplasty or bypass. Meanwhile you must start Tab. Metoprolol 25 mg once a day, with aspirin 75 mg and atorvastatin 10 mg at bedtime. Further addition and alteration should be done after complete evaluation. Please proceed for early evaluation. My best wishes. Chat Doctor. 