question: I have been having chest pains in the middle of chest for about a week that come and go. It is different from when I had them with anxiety a few years ago. This time it would spread to face some and down right arm specifically. Today I turned to look out car window and my chest had gripping pain in the middle that took my breath. Tonight I have a lot of pressure in the center. I do have gerd controlled by 150 mg zantac am and pm