What could it be?

Patient : So i have for like 2 years or so had like pains where my heart is,they are dull aches ,have had no other symptoms really just that mostly.But the other night i had an episode when i went to bed i felt real like anxious feeling in my chest and my heart was racing like 15 bpm,also felt like i could not get a full breath and i had the shakes a bit as well.Now the last few days i am having the pain over my heart area again on left side what could this possibly be?
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