This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
At your age underlying heart problem should be ruled out convincingly.
Myocardial infarction can cause such feelings sometimes.
Stress test is recommended at least.
If stress test is normal, then this is likely anxiety related muscle spasms.
Stress does contribute to your problem greatly.
It is better to manage your stress well through meditations, counseling.
Medication also can be prescribed by your doctor.
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