Possibly no: By this point i can tell you that your probability of having ischemic heart disease is very low. Prinzmetal angina, an spasm of the coronary arteries without significant coronary blockage, should be in the differential but probably was already r/o by your doctors. Acid reflux can give you pressure pain and chest wall pain due to costochondritis if you lift weight at work or at exercise.
Answered 8/1/2013
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