<s>[INST] im 41 had two ablations for afib been normal rate for almost two years.have had several test on gastro side normal with gerd they say but lately have pains in left arm and chest that comes and goes with head aches bad sometimes pains last mins to hours my heart rate at rest is 65 blood pressure 137/81 [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Your blood pressure and heart rate are normal, but since you are having history of atrial fibrillation and ablation, better to first rule out coronary artery disease as a cause for your left arm and Chest pain. So first get done 2d echo, stress test (trade mill test) and coronary angiography (if required). If all these are normal then no need to worry about heart diseases. Musculoskeletal pain can also cause similar symptoms. So avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant Chat Doctor.  Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>