Unless you have risk factors for heart disease at a young age (such as diabetes or lipid disease), or a strong family history of heart disease, then you don't need to undergo further testing for possible coronary artery disease. Costochondritis may indeed produce symptoms such as the ones you're describing, and so can problems in the esophagus. A more detailed evaluation is necessary to pinpoint the exact underlying cause of your symptoms.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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