
What Causes Tightness In Chest After Having Warm Or Hot Showers?

It doesn't seem to be ischemic angina.
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern, and would like to explain that your clinical scenario doesn't seem to be related to any cardiac ischemic symptomatology.
A warm physical environment is not considered a triggering factor for generating anginal symptomatology.
Ischemic angina when started, doesn't resolve in that manner (immediately after getting out of the warm environment).
So relax! Your heart doesn't seem to be suffering from ischemic disease.
The most probable reason for your complains seems to be a vaso-vagal reaction (orthostatic intolerance), which may lead to hypotension, extreme weakness, general and chest discomfort, and in some cases even fainting and syncope.
I recommend you to consult your doctor (cardiologist or internist), for a comprehensive physical examination, and if the above suspicion is raised, a Head up Tilt Table testing would be helpful to rule in/out an orthostatic intolerance.
Hope to have been helpful to you!
Feel free to ask me whenever you need! Greetings! Dr. Iliri

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