Hello! Thank you for asking on HCM! Regarding your question, I would explain that it is important performing some tests to investigate for the possible causes underlying your complaints: -a chest X ray study -a resting ECG and a cardiac ultrasound -cardiac enzymes -complete blood count, PCR, ESR for inflammation. A cardiac stress echo would help investigate for coronary artery disease. A fibrogastroscopy may be needed to investigate for possible gastritis or gastro-esophageal reflux, especially if your symptoms are relived by PPI (omeprazole, esomeprazole, etc.). Hope you will find this answer helpful! Wishing all the best, Dr. Iliri