First Time Intense Pain!

Patient : Have a history of heartburn but have been under and extreme amount of stress for especially the last few months. The past two weeks I have been experiencing vertigo and today, had a sudden onset of the most intense chest and abdominal pain that I was doubled over, sweating, couldn't talk and don't remember much of the episiode beside the pain. I'm wondering what it could be.
Symptoms:  Immense chest and stomach pain, sweating, shooting pains through upper body (shoulders and arms)
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