Conversation: The conversation between human and AI assistant.
[|Human|] I am a 68 yr old white male that had a defib installed 5 yr ago due to a 22 ejection fra. Heart was more or less normal otherwise. After years on Toprol and enalpril I have a 50 EF. with a pretty normal echo result. Question: I am having some pain discomfort around my site and tingling pain down my left arm with extreme tentinitus ? in my left arm. I have recently been doing some lite arm movements in the pool such as swimming movements etc. If I bother my cardiologist could he easily determine this is not a lead problem etc. Or will it be hard to give me an answer for the pain. I just had a scheduled remote check up and medtronic e-mail back said all is well. I can get in pretty easy to see my Doctor but really think this is exercise related. What ya Think?
[|AI|]  Hello, Your symptoms could be related to the straining physical activity (musculoskeletal pain). Is the pain triggered by arm movements? This would be another argument in favor of possible musculoskeletal pain. Coming to this point, I recommend first discussing with your cardiologist on this issue, in order to help exclude a cardiac disorder. I don't think that it will be difficult for him. In the meantime, I recommend taking Acetaminophen for the pain.  Hope I have answered your query. Let me know if I can assist you further.