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Kathryn,   Thanks for your question.   I suggest you go to the emergency room as soon as possible for an evaluation.  Chest pain that occurs in a patient with a known abnormal EKG is assumed to be cardiac until proven otherwise.  Certainly, more information is needed to make a determination of the cause, but this would best be done in an emergent setting.    Best wishes and feel better.   Martin Cane, M.D.
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