###Human: What is causing sharp shooting pan in chest with sore biceps? ###Assistant: Hi. I have read your query. If you experience pain, pressure or discomfort in the center of your chest or in your arms, back, jaw, neck or stomach, along with shortness of breath, a cold sweat, nausea, fatigue or lightheadedness, these symptoms may signal a heart attack or myocardial infarction. Please visit your nearest hospital in such a case immediately. But, when chest aches and pains are on and off or of a different kind, it is often something different. You have mentioned that repeated EKG have been done and it is normal. So it is unlikely that you have had a heart attack. You have also mentioned that it is associated with sore biceps. Do you have any history of injury to the chest? It is quite possible that your pain is due to a musculoskeletal injury to the chest. Please take tablet Ibuprofen 400 mg every six hours for five days. Your symptoms should subside. However, even after taking this medication, symptoms do not disappear, please visit your doctor who can evaluate you further.  Few other conditions which can give rise to chest pain include: 1. Fractured rib: History of trauma will be present with severe pain at a particular point in the chest when pressed. 2. Pain associated with breathing: It points towards lung cause like pleurisy. 3. Pain associated with discomfort in abdomen: It could be because of acid reflux from the stomach. If your symptoms point towards any of the above mentioned causes please visit your doctor who would do further examination. However, you have mentioned that you have done chest X-ray and it has come as normal. So it is unlikely that its any of the above. I would also advise you to sleep adequately, about eight hours daily. Keep yourself stress-free and do exercises to keep yourself fit.