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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Jackie Aprile Sr. Giacomo Michael Jackie Aprile Sr. , played by Michael Rispoli, is a fictional character on the HBO original series The Sopranos. He was the first acting boss of the DiMeo Crime Family, after longtime reputed boss Ercole 'Eckley' DiMeo was sent to prison in 1995.