<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, i am a female, 20 years old, and i have been experiencing sharp needle - like pain in my heart, or it feels like it is being squeezed, for the past year, however, recently i have been experiencing couple times a day every day. It lasts for about 5 - 15 seconds, but it hurts to the point that i instantly freeze and cant move or brethe. I am a smoker, and i do consume alcohol sometimes when going out. Should i be concerned? Thank you.  <response>: Hi, Pain in chest due to heart disease is very rare at your age. Chest pain due to heart disease is non localized, squeezing type increase on exertion. Still you need to do an ECG 2D Echo for cardiac evaluation. Chest pain at your age can be simple muscle pain or Costco Chat Doctor. Both are treated with painkiller. You should also go for a chest X-Ray to rule any associated lung causes. Thanks 