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Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.
These symptoms can still be underlying heart disease.
More commonly this can be due to the nerve related pain.
Pinched nerve at the thoracic spine can cause this from arthritis.
But first get your heart checked with EKG and cardiac markers.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable and authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/