Brief Answer:
A migrating pain is not likely to be cardiac related

Detailed Answer:
Hello!

Thank you for your question on HCM!

I understand your concern and l would like to explain that your symptoms may be related to different disorders affecting the anatomical structures in this region (the heart, aorta, lungs, or the the musculoskeletal system).

In the differential diagnosis is important to investigate the pain characteristics.

Is this pain modulated by posture or body movements?
Is it a superficially localised sharp pain or a deep dull pain?

If the pain is modulated by posture it is more probable to be a musculoskeletal pain.
A migrating pain is not characteristic of any cardiac disorders.

First I would recommend performing a careful physical examination, a chest x ray , a resting ECG and cardiac enzymes to exclude a possible ischemic heart disease, an acute aortic disorder etc..

If after all the above tests, suspicions about an ischemic angina are raised a cardiac stress test is recommended.

Hope to have been helpful to you!

Feel free to ask any other questions whenever you need!

Best wishes!
Dr. Iliri

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