Hi, Welcome, this is Dr Sameer, cardiologist. IHSS do follow a hereditary pattern and we advice such patients to be in regular follow up & do some tests. If your earlier tests have been fine, than it does not rule out possibility of having a heart issue in future. If you are having chest pain, I ll recommend you to go to the Emergency & at least do a ECG to see if anything is wrong. For your knowledge, cardiac pain is non localized (i.e. it is diffused) & increase on exertion (with exercise like walking, running or stress) & it is generally not relieved by traditional pain killers. So yes, get yourself evaluated soon. In future, despite of having a simple echocardiogram, I ll advice you for a stress echo, which helps better in predicting chances of future cardiac events. Thanks Take care