Another ekg and more blood work done yesterday by my family doc. Today they are going to have a look with an ultrasound and make sure I'm good to go ahead with the stress test.
We also discussed the possibility of this being whats called "Pericarditis"
since I have RA. It can occur due to rheumatoid arthritis attacking the pericardium (tissue sac around the heart).

http://en.wikipedia.org/wiki/Acute_pericarditis

In the meantime, I'm starting a prescription of 20mg of Omeprazole for stomach acid to rule out any gastro problem.