<s>[INST] I had bad URI in November and it lasted several weeks but over it now. For last month I have had continuous chest pressure over the heart with shoulder and shoulder blade discomfort. No shortness of breath, no anxiety, and there is no change whether I am resting Or performing daily activities -- I am a 60 year old women, with long history of smoking, and take blood pressure meds, cholesteral meds, 81 mg aspirin, and Prilosec for GERD. What can be causing this continuos pressure [/INST] Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* There are different conditions which can lead to such presentation as - cardiac issues as valvular or others - lungs related as emphysema or others - chest wall conditions as ligament or muscle sprain or strain with referred pain - neurovascular bundle related - stress induced psychological * Treatment depends upon finding out the cause of it with proper work uprising you fine recovery. Feel free to ask any further doubts. Regards . </s>