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Chest Pain with Left Shoulder and elbow pit pain

I feel like I am just a paranoid kid asking this, as I am only a 33 year old male, but here it goes.  For the second time within a one week period I am experiencing moderate to medium chest pain.  This pain is also felt at the left shoulder blade and down into my elbow pit (for lack of a better explanation of that area).  Today this has lasted for about 4 hours, with the pain being on and off, and has yet to end.  Last Thursday, I had a very similar experience, but the pain only lasted about 10 min.  If anyone has any ideas as to what this may be, please let me know.

Thanks!
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First of all, age doesn't matter, even small children sometimes have these type of problems.

Second, it's chest pain, so don't mess around, get to the doctor.
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