<s>[INST] FOR THE PAST 3 MONTHS I HAVE HAD CHEST PAIN SHARP STRAIT THROUGH MY LEFT SIDE ABOVE MY HEART, HAD A STRESS TEST AND HEART CHECKED AND NOW THE PAIN IS WORSE AND SHOOTING PAIN DOWN MY RIGHT ARM AND NUMB RIGHT FINGERS AND TOWES? DONT KNOW WHAT ELSE TO DO THANK YOU JESSIE WILSON [/INST] Hello dear, thanks for your question on HCM. I can understand your situation and problem. Since your stress test and echo are normal, no need to worry for cardiac cause. Other likely causes for your symptoms are1. Anemia2. Thyroid related problems3. Vitamin b12 deficiency. So better to get done hemoglobin level,  thyroid function test and vitamin b12 level. And if any of the above is deficient then start supplements accordingly. </s>