<s>[INST] i function ok but have mild chest pain with shortage of breath propagating into the arm. I get this symptoms twice this month and was admitted to emrgency. However the ECG was normal and topanine levels were fine. Once ECG conducted on me last monthh showed some evidence of Ischemia but this was not captured in the two chest pain episodes. what do i need to do now? I just took 2 baby asprines. Do i need to go to emergency right away [/INST] HI..welcome to HCM Chest pain radiating to arm with shortness of breath requires serious evaluation of cardiac status. I WOULD RECOMMEND YOU,1.Get a TMT done, if it is positive get angiogram dome.2.when ever you have symptoms rush to ER to get an ECG, ECHO and TROPONIN T done.3.IF all these tests are negative, no need to worry.4.If any of the tests are positive meet an cardiologist. </s>