<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have a family history of heart attacks. My father died from a sudden massive heart attack at the age of 51. His mother, father, 2 brothers and a sister also. I am 43 yrs old and have been experiencing chest pains mainly on the left side and heart burn acid reflux. Just wondering if this could be warning signs? I also have high blood pressure in which I take medication. It was high 150104 but since is slowly coming down. An hour later it was14098. Is this a major concern that I need to go to the emergency room?  <response>: It is very important to take care of this situation. You have multiples risk factors for coronary artery disease, including : older than 40 years old, family history, hypertension. I dont know your sex, but if you are male with high cholesterol and diabetes, that will increase the risk factors. You need a complete cardiac workup with an electrocardiogram, echocardiogram and stress test to have a better view of your medical situation. You should go to the emergency room if you have chest pain, do not wait. In addition to this, your blood pressure is high. 