Hello! Thank you for asking on HCM! I understand your concern and would explain you that first you should clarify that issue regarding possible cardiac angina. You need to perform a cardiac stress test. If nothing results from the test, and if you don t have coronary risk factor, then you should look for another explanation of your experienced pains. Otherwise, if stress test results positiv for cardiac ischemia, then you need a further diagnostic work up including coronary angiography to confirm coronary artery disease and establish the most appropriate therapy. Greetings! Dr. Iliri