What causes chest and ear pain with syncope and sweating?
Patient: I had pain while lying in bed .It was around the heart but no pain in the centre. Also in the ears but not in the neck or arms. I spayed nitro glycerine spray twice and waited ten minutes and sprayed twice again. Still same pain. I moved slowly to get up to prepare to call the ambulance and I felt very faint and was perspiring. I lay down again and waited and the pain left after a while and I felt better. I had not been able to sleep that night and it was 5 a.m I have had pressure in the centre of my chest in the past and have had an echocardiogram last October and it was normal.I have high blood pressure and on medication. Thanks for your reply Mary Doctor: Thanks for your question on HCM.In my opinion you should immediately get done ECG and 2D Echo again. As your symptoms like early morning chest pressure, perspiration and high blood pressure are suggestive of cardiac disease only most probably angina. So consult cardiologist immediately and get done ECG, 2D ECHO and control of blood  pressure. If above things are normal than better to get done coronary angiography to rule out coronary blockage.