Detailed Answer: Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. My opinion- In the given situation-You seems to suffer from-?Hypertensive Cardiac failure-LVH(left ventricular hypertrophy). Hot feeling and left shoulder pain is mostly from undetected high blood pressure which needs to be treated, as it is causing accompanied Lung oedema -causing breathlessness.Shoulder pain seems to be from accompanied angina from ?CAD(Coronary Artery disease) Obesity with high lipids needs to be ruled out.Weight reduction with regular walking exercises with diet control with high fibre, low fat, non-spicy diet is suggested to fix these health problems. Consults with Cardiologist and nutritionist, would be needed to treat these health issues. Other causes need to be ruled out by physical / and lab check ups from Specialist Cardiologist. Further suggestions in this regard would need ore information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS