Hello!
Welcome no HCM!
I passe through your fiancee's medical history and would like to explain that it is necessary a careful differential diagnosis to precisely clarify the issue of her recurrent
chest pain.
After checking her resting ECG, cardiac enzymes (CK-MB, Troponin), cardiac
ultrasound, and chest X ray, it is necessary to perform a cardiac
stress test which could come on different modalities (exercise cardiac stress test, stress echo, nuclear perfusional cardiac stress test [CARDIOLITE].
Another option would be to undergo through a coronary angio CT. If sufficient data are drawn on a possible coronary artery disorder, then a coronary
angiography is necessary to precisely define possible coronary lesions and decide the following plan of treatment (medication strategy, percutaneous
angioplasty or a surgical option).
You need to discuss with her attending doctor on the above mentioned issues.
Hope to have clarified your uncertainties!
Kind regards,
Dr. Iliri