Conversation: The conversation between human and AI assistant.
[|Human|] I am a 35 year old female with history of Svt. Had a cardiac ablation a year and a half ago. Have frequent skipped beats. Today for a few seconds had sharp pain in my left shoulder blade. My blood pressure was 108/59, is that a normal blood pressure for my age?
[|AI|]  Oh, it's definitely a totally normal blood pressure. Pain evaluation is tricky without being able to cause it. IF moving the shoulder causes the pain, then it's the shoulder. As a professional I can determine what exact part of the shoulder (joint, tendon, muscle) is involved. A pain shooting from the neck down the shoulder and outward is a pinched nerve (in the neck). Aching in the shoulder associated with cardiac stress (walking/running/emotion/straining/SVT) but NOT elicited by moving the shoulder would imply a cardiac origin. With deep breaths eliciting it, a diaphragm or even abdominal source can cause shoulder pain.