Brief Answer:
I would recommend performing some tests.

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this symptomatology:

- esophageal spasms or gastro-esophageal reflux
- myocardial ischemia
- an aortic aneurysm
- acute pancreatitis
- a musculoskeletal pain.

For this reason, I would recommend going to the ER for a careful physical exam and some tests to investigate for the possible causes:

- a chest x-ray study
- a cervico- thoracic spine x-ray study
- a resting ECG and cardiac enzymes
- some blood lab tests ( complete blood count, PCR, sedimentation rate, amylase plasma levels).

Further tests may be needed to establish the cause.

Hope to have been helpful!

Kind regards,

Dr. Iliri

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