I am 57 years old, weigh 170, am 5' 1". I see a cardiologist annually. I had a paricariol window 8 yrs ago due to fluid around my heart; however, I know I have a slow leak and thickening muscle. I have been experiencing fatique, and chest pains. I am due for an echo in a couple of weeks. Today I am experiencing a throbbing pain in heart area that won't go away, no vomitting. Not sure if I should call my cardiologist.