It is taken to mean heart pain, although chest pain may be due to cramp, spasm in the chest wall muscles, acid flowing back from the stomach, inflammation of the lung surface (pleurisy), or the start of shingles.
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Fiore Fifi Buccieri (December 16, 1907 - August 17, 1973) was a Chicago mobster and member of the Chicago Outfit who specialized in loansharking. As a youth, Buccieri was born is Southern Italy and eventually immigrated to Chicago.