I have been having left chest pain with ear ache and shoulder pain, I went to ER last week they did echo which says ischemic heart disease....left atrium dilated, aortic valve sclerosis , mitral valve regurgitation, abnormal diastolic function, la volume by biplane method is 44.00ml. My chest feels just as achy and tight as it did last week but worse with climbing stairs or when stressed at work and still SOB, my bp is 148 over 91 heart rate 70. Is it just stress or should I be worried.