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Is pain in the left shoulder an indication of heart problem?

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Posted on Thu, 23 Feb 2017
Question: Does pain in my left shoulder indicate a possible heart problem? I am an 80 year old female. The pain is dull, more of an ache.
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Answered by Dr. Ilir Sharka (43 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

Pain in the left shoulder could be a possible cardiac ischemia issue. But, ther could be also several other alternative explanations (a musculoskeletal disorder, pleural (outer lining of the lings) inflammation, a degenerative backbone disorder, etc.)

So, it is necessary to fully characterize your pain (its nature, exact location, triggering factors, possible irradiation, relation with physical exertion and body posture, etc,)

A careful physical exam by your doctor is the first step to be followed.

Also, some additional tests should be done t oproperly differentiate the responsible cause of your pain:

- resting ECG,
- cardiac enzymes (CK-MB, Troponin I)'
- chest X ray study,
- complete blood count,
- PCR,
- CPK,
- AST & ALT

You need to discuss with your attending physician on the above mentioned issues.

Hope to have been helpful to you!

In case of any further uncertainties, feel free to ask me again.

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 8389 Questions

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Is pain in the left shoulder an indication of heart problem?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome on HCM! Pain in the left shoulder could be a possible cardiac ischemia issue. But, ther could be also several other alternative explanations (a musculoskeletal disorder, pleural (outer lining of the lings) inflammation, a degenerative backbone disorder, etc.) So, it is necessary to fully characterize your pain (its nature, exact location, triggering factors, possible irradiation, relation with physical exertion and body posture, etc,) A careful physical exam by your doctor is the first step to be followed. Also, some additional tests should be done t oproperly differentiate the responsible cause of your pain: - resting ECG, - cardiac enzymes (CK-MB, Troponin I)' - chest X ray study, - complete blood count, - PCR, - CPK, - AST & ALT You need to discuss with your attending physician on the above mentioned issues. Hope to have been helpful to you! In case of any further uncertainties, feel free to ask me again. Kind regards, Dr. Iliri