<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, i had an angioplasty in 2003 and had another angiogram a few months ago everything looked ok after having chest pain, i have been having a major toothace and am suppose to have it extracted tommorrow but now woke up with chest pain going down arm should i ignore that as they told me all was ok last time?  <response>: Respected user, hi I evaluated your query thoroughly.Even though work-up before few months was ok, one should never ignore chest pain anytime with pain going down arm.I strongly recommend seeking medical advice by consulting Physician doctor immediately without delay. Hope this clears your doubts. Thanks for using Chat Doctor keeping trust in our medical services. Welcome for any further assistance. Wishing you a happy healthy life ahead. Regards dear take care. 