For the past three days now Ive been having a stabbing pain in my upper left back, mild throbbing left shoulder pain and left lower arm pain and heart palpitations. My HDL is in the 30s. I have type 2 diabetes, hypertension, am overweight, my triglycerides are 250. I am a 41 year old woman who also suffers from anxiety and depression. Could this be anxiety or heart problems. I do not have chest pains or shortness of breath.
Thanks for your question on Chat Doctor. I can understand your concern. It is very difficult to diagnose whether your symptoms are due to anxiety or due to heart disease without cardiac tests. You are having risk factors for heart diseases like hypertension, diabetes, high triglycerides, low HDL etc. So better to consult first rule out heart diseases for your symptoms. So get done 1. Blood pressure monitoring2. 2d echo. 3. Stress test (trade mill test) 4. Coronary angiography (if required). If all these are normal then no need to worry about cardiac diseases. Then better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.