Hello. i'm a 32 year old female. i have copd so i usually have some chest pain at times and difficulty breathing... currently i'm have a continuous ache in my arm and i've been extremely tired. should i be concerned about a heart attack?

Must call the doctor: A person with left shoulder or left arm pain without a good reason or explanation should go to her doctor or the E.R. to be checked for a heart attack. That means not waiting at home to see if it becomes a bad heart attack. It could turn out to be a lung problem, a bone or muscle problem, or an acid reflux problem, but the heart attack can kill people. As the saying goes, 'better safe than sorry.'