Hello, What kind of pain is this, is it exertional or at rest. If exertional then very much suggestive of heart disease. If at rest also then this can be of heart, shoulder or cervical problem, which can ascertained on further questioning. Still we need to rule out the heart disease so you should further undergo treadmill test, which will clear the picture. Also you should be started on cholesterol treatment like tab Atorvastatin 20 mg etc. So you discuss these issues with local doctor. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn t abdominal fat deposition or obesity. Get your sugars tested once. Kindly message back if you have any doubts. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sagar Makode