cardiospasm: a spasm of the cardiac sphincter (between the esophagus and the stomach); if the cardiac sphincter does not relax during swallowing the passage of food into the stomach is obstructed
act: something that people do or cause to happen
predestination: (theology) being determined in advance; especially the doctrine (usually associated with Calvin) that God has foreordained every event throughout eternity (including the final salvation of mankind)