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As per your description,possible differential diagnosis may include Ischemic heart disease,Cervical spondylosis,Chest infection,Transient Ischemic attack.
His symptoms shouldn't be ignored and it's good to visit Emergency room.
EKG,blood pressure and pulse rate monitoring,chest x-ray,blood work should be done ASAP.
Prompt management is required.
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Take OTC Aspirin.
Do gentle massage at back of neck.
Monitor his blood pressure and pulse.
Call at emergency room to get access for ambulance ASAP.
Hope this helps.