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Chest Heaviness and Left arm pain
A cardiac cause of your pain such Coronary Artery Disease has not yet been excluded.
Rather than just an echocardiogram, you should probably have a stress echo of your heart if other factors also suggest that you may have heart disease; an ECG alone is insufficient.
You can test whether you are at risk here, and also with these two specific chest pain questionnaires:
Hope this helps
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