<s>[INST] yes hello my name is rose I have been having a lot of problems with headache I cant sleep...a lot of times during the day I don t know what happens I start to feel funny I don t know what it is I start feeling nervous my breathing gets fast and my chest starts to get very tight and it gets harder to breath..i feel like my body goes still and I start breathing heavy...what do you suggest is wrong and what I should do..i really need help right now im getting the brething and my chest is starting to get tight and my heart is pumping fast...if I can get some one to call me and tell me please im panicing over here please if there is some one on line I would to talk to [/INST] Hi welcome to Chat Doctor. I understand your query and concern. Your symptoms are suggestive of Ongoing Myocardial ischemia which needs coronary angioplasty with or without stenting as the main treatment of choice. This needs prior assessment of cardiac reserve through angiogram and following set of investigations. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Chat Doctor. Reduce the intake of fatty and fried food. One pomegranate a day will help to keep your heart at good pace without clot formation. Overall prognosis is good for early intervention. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you. </s>