You should inform your doctor about the chest pain. You have not stated your age, but you are overweight and have a heart
murmurHeart murmurs and other sounds, and I would want to make sure the pain is not from the heart. If the pain is
neurologicFocal neurological deficits
Multiple system atrophy this could represent either a nerve compression in your arm, or possibly a "pinched nerve in your neck". Carpel tunnel syndrome can present with spells occurring from sleep with numbness, tingling, and weakness in the hand, and pain radiating up the arm. It would be reasonable to discuss this with your doctor, and then consider seeing a neurologist. Good luck.