<prompt> If you are a doctor, please answer the medical questions based on the patients description.my blood pressure is 12084 rate 85I just experienced some sharp pain lasting about 3 minutes in my chest, I have a history of heart failure, I am 36, now the pain is not there, but I am dizzy and lightheaded. When the pain occured my bp was 12283 h rate 98, that is after I have been sitting at my desk for 2 hours.DO I need to go to Er or can i wait and talk to cardiologist in the am?  <response>: Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your symptoms are not typical of a cardiac disease including myocardial ischemia. Was the pain triggered by deep breathing or body movements? This would indicate possible musculoskeletal pain. Anyway, considering your past medical history for heart failure, I would recommend going to the ER if the pain persists, in order to perform a careful physical exam and some tests: - a resting ECG and cardiac enzymes- a chest X-ray study-complete blood count, PCR, ESR for inflammation- arterial blood gas analysis. Hope you will find this answer helpful! Kind regards, 