<s>[INST] thanks ... im  a lady 39 yrs old .we r settled in bahrain ..feeling soem discomfort on chest.As per doctor , my ecg shows slight vcariation and advise for further check up in India. total cholestrol is 236 and uric acid is 6.7 rest everything seems normal .I have pain on my left shoulder up to my left hands ..im a computer professional and have consulted dr for my shouldr pain . [/INST] Thanks for your question on Healthcare Magic.I can understand your concern. Yes, you should definitely rule out coronary artery disease (CAD) for your symptoms.You are having dyslipidemia (high cholesterol) and ecg changes.Both these are in the favor of CAD more. So better to consult cardiologist and get done repeat ecg, 2d echo, stress test and coronary angiography (if required) for the diagnosis of heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>