Does anxiety cause arm and chest pains tension in ribs near heart. i have had an egc monitor on me by abulance men they said my heart is fine. i am in mid 50s sufffer since 16. so what can i do now.

See a psychiatrist: Lots of good medicine and therapy for anxiety and tension. Get an evaluation and treatment recommendations.

Medical Care: I think a 36 year history of a medical problem deserves an in person examination with a good primary care medical specialist. The simple answer to your question is that yes, of course, anxiety can cause the symptoms you describe. But, you are an adult with a significant history of pain and symptoms. It is time for a thorough exam with testing and perhaps specialist evaluation. Not an er visit.