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Pain comes and goes on left side of the chest; with some numbness on the left arm.
I don't know what causes these pains. However, the location and description of your symptoms is unlikely to associated with coronary artery disease (CAD).
What I DO know is that you are at risk for heart disease (as well as other illnesses) because of your smoking and high blood pressure, as well as other possible factors you haven't told to me. I have performed coronary artery bypass surgery on many a patient who had previously been assured by their doctor that CAD was not a concern!
In your case, the examination and tests that were done would not have confirmed or denied CAD. This requires an evaluation of your risks, and probably a echocardiogram for starters.
RE: "Do you think that it's arthritis or something else and does cigarette smoking contribute to the pain? What do you recommend for arthritis?", smoking causes many other illnesses including lung cancer (probably excluded by the chest X ray) that can those type of pains. Sorry, but I don't treat arthritis.
Hope this helps,
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