Thank you for the query.
If your chest pain
is similar to that from 4 years (radiating to the left arm or jaw) it can be a heart pain. In such situation, coronarography should be repeated. If this pain is more like burning, it can be caused by acid reflux
or peptic ulcer
. In such case, upper GI endoscopy should be done as well with Helicobacter Pylori
Hope this will help.