upper back pain heart disease

What would be the cause of shooting pain through his chest / shoulder?
It comes and goes very often, I get very intense shooting pain through my chest, either side or both at the same time, and mid-upper back and shoulder blades. It hurts to move, breathing, bending, anything. I want to schedule an appointment, but I know what I should get tested for, and not just go to another "idk" license. Doc said his does as I am heart disease and evidence Young people are oka, but never got tested for lupus. 19 years by the way, almost 20. Its been happening for years from time to time, and at the age of 16 years. One doctor believed that GERD, medicines help did not help. The latest thinking of the chest wall inflammation, was not either. 3 negative electrocardiograms for heart disease.
could be signs of early stages of rheumatoid arthritis
Coronary Artery Disease

