Conversation: The conversation between human and AI assistant.
[|Human|] I am 75 years. I have BP since last 35 years. I regularly take Amlodac AT and BP remains135/85 and pulse 74 per minute. Since last one mongth I have shouder pain which pains more in inght. My blood report of biochemical test result is higher LDH---477.1 u/l against reference range 230---469 u/l. I have no any other problems except LEFT HAND SHOULDER PAIN AT NIGHT
[|AI|]  Hi, Thanks for writing in to Chat Doctor. I understand your problem and will try my best to help you out. Since you have a history of hypertension and on medication, I would definitely suggest you to promptly get a 24 hour holder ECG done along with Echocardiography and Lipid profile. Kindly consult a cardiologist to rule out any cardiovascular causes of left shoulder pain. If these tests are normal then the doctor may refer you to an orthopaedician to rule out orthopedic causes of shoulder pain which can be treated with non-steroidal anti-inflammatory Chat Doctor. Hope this answered your query. Get well soon.