Dear Welcome to HCM We understand your concerns I went through your details. I suggest you not to worry much. As all your medical tests came clear, the problem lies with your attitude. Your family tension and problem with wife and stress combined could be the basic reason for the current state. Over and above you have crossed the young adulthood. Now on the verge of middle adult hood. You are learning to live with problems, disease conditions etc. They add up to stress. Please understand yourself and the stress. Be energetic mentally and body follows suit. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.