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Okay, sometimes spasms in the esophagus may mimic pain that comes from the heart, and cause pain, it may go undiagnosed if the proper tests are not done. I would advise you go to an ER to rule out heart problems, and if everything is negative again then you should have esophageal manometry, this test will detect spams in your esophagus. Often the drugs that are used for this are nitrates, also, if diltiazem and metoprolol don't work, then you may ask them if they will start you on multaq, and I would recommend you see a cardiologist as well

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