GeorgeB 
George, this is nothing to play with. You need to call 911 and go the ER when you have chest pain. You need to see a cardiologist in order to find out what is causing your pain. What caused it before may not be what has been causing it lately. You need to see a specialist, seriously. I used to be a nurse, in fact, for awhile I worked in the cardiac care ICU. Many people have heart attacks and don't even know it - they just show up on an EKG later - if they survive that is. If you smoke, you need to stop now- smoking increases the chances of sudden cardiac death astronomically.
I'm praying for your health. I'm also praying that you will take this seriously and not rest until you have an answer. There are many conditions that cause chest pain - some of which are potentially lethal. You could have a heart rythm disturbance that comes and goes and you may need to wear a monitor for 24 hours ( maybe on more than one occasion) in order to catch it.
My sister has a condition called atrial fibrillation and it took her awhile to be diagnosed because it would come and go- it was never present when she was at the doctor's office. I finally had to drag her to the hospital one night when she was having chest pain (btw she's a nurse too but was afraid) and she started getting the treatment she needed. Atrial fibrillation can lead to blood clots in the heart and can result in a stroke or death if untreated. I'm not saying that is what you have but it is just an example of the kind of thing that causes intermittent chest pain.
You seem like an intelligent man, please think of your family and give this the attention it deserves.
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