<s>[INST] Hi hope you can helpive been getting chest pains, not severe but a constant pain, can happen when im just resting but has also happened when im exercising, it continues through to my back as well. I sometimes wake up with chest pains too. i have a strong history of heart disease. grandfather died at 26 from a heat attack and mother had one at 45, also grandmother on the other side had a heart attack. Could you please explain what is happening? Thanks [/INST] HelloThanks for posting at Chat Doctor. You have not provided your age on the details. I would have been able to help u better had you mentioned your age. You have complaints of chest pain radiating to back with strong family history. So in your case it is better that we evaluate you for presence of heart disease. I recommend an ECG and 2d echo initially. If both these tests are normal you can proceed for a treadmill test which requires you to walk on a treadmill while your ECG is continuously monitored. This will show if the heart blood supply suffers while you are exercising which indirectly predicts whether you have blockages in your heart. Please do the above tests and revert. Wishing you good healthRegards. </s>