Can hypertrophic cardiomyopathy cause chest pain or tightness?

Yes. Hypertrophic cardiomyopathy can cause chest pain. It is a condition in which the heart muscle becomes thick, and obstruction to outflow may occur. Arrhythmias may occur as well. Patients may have severe symptoms, or no symptoms. It is a common cause of death in young athletes who seemed completely healthy.
Yes indeed. If you are sure you have hypertrophic cardiomyopathy (it's a completely different animal from an athlete's hypertrophy), then you need to hustle to your cardiologist. I am not kidding. There may be obstruction to the outflow of the left ventricles that will interfere particularly with filling of the coronary arteries. Or it may be nothing. But get seen.

Related Questions

Can upper arm, chest, and neck pain when running be related to hypertrophic cardiomyopathy?

Yes. Hypertrophic cardiomyopathy creates what we call a dynamic obstruction. This means that as your heart works harder, it is working against itself and blocking the flow of blood. This can manifest with a wide range of symptoms including all of those that you described above. Expert treatment is required for patients with hypertrophic cardiomyopathy (usually from a cardiologist). Read more...
Hypertrophic cardiom. Serious condition pain suggest problem given history hold exercise see physician. Read more...