<s>[INST] i have a 48 year women that says she has a like a electric shock feeling in her heart she fells nauseated but has not pain in the arms or legs and no neck or back pain is it something that needs imediate medical attention or can she wait till morning when she has a doctors appointment [/INST] Hello! Thank you for asking on Chat Doctor! I understand your concern and would like to explain that her symptoms don't seem to be cardiac related. Is this pain modulated by body movements?These symptoms seem to be related to musculoskeletal pain, which typically worsens during respiratory movements or body movements. Another disorder that may cause this clinical scenario would be herpes infection pain, affecting the nerves of this region. This type of pain, is not modulated from respiratory movements, and appears before skin eruptions. Electric shock feeling is a typical characteristic of this disorder. Both the above-mentioned disorders are not medical emergencies. So she can wait till morning to consult with her doctor for a careful physical examination and some lab tests, to establish the diagnosis. Hope to have been of help! Best regards,  </s>