I have had chest pains over night and yes I worry if it is angina but I know the story I will get at the local or any hospital anyway. I have to go to a hospital anyway. they might do ecg but more likely to tell me to go to my gp and caridologist anyway. I notice that the pain gets worse if I don't drink a high volume of water per day and if I don't use just a small amount of cayanne pepper every day. I have had chest pain and left arm pain over night and short of breathe but I am certaintly not calling an ambulance. I can tell when the pain gets worse my blood pressure drops down low and also it feels like a collapsed vein when I have blood tests. I have ear pain and I have had a cold and a bit of gastro for the last week with swollen glands so it is just likely to be a bug I picked up at the last hospital visit. I am not getting an ambulance - end of story! I have a fair idea what is up.