There can be many different heart conditions that can cause pain associated with the heart muscle, including hypertrophic cardiomyopathy, coronary, myocarditis and myocardial infarction. A person may need to see a doctor if he experiences certain symptoms associated with these heart conditions, such as chest pain. A person who experiences chest pain, feels faint, or has palpitation, should see a health care professional because these are some symptoms of hypertrophic cardiomyopathy, specifies the National Institute of Health's MedlinePlus.
Hypertrophic cardiomyopathy occurs when there is thickening in one section of the heart muscle. This makes it difficult for the heart to pump blood, leading to the cited symptoms. Similarly, other heart conditions like myocarditis and myocardial infarction involve some type of damage to the heart muscle that cause symptoms that generally include chest pain, fatigue and breathing difficulties, relates WebMD. In the case of an acute myocardial infarction, which is a heart attack, a person may need timely and effective attention, reports the Mayo Clinic.