Why do I get occasional muscle cramp type feeling in the chest?

Your lipid profile is all fine and there is no risk to cardiac muscles and blood vessels of the heart due to this cholesterol and its counterparts. Index is safe according to the blood work. Your high-sensitivity C-reactive protein is above normal and falls in the high risk group for cardiac blood vessel issues like coronary artery syndrome. But, this test is not that specific. We usually do repeated tests for C-reactive proteins and compare all of them separated apart with considerable time. If there are no other risk factors for heart disease and there are no signs and symptoms of coronary artery disease then we assume this raised result levels to be from some non-cardiac cause. In such a case I preferably suggest you to go for exercise stress test and if this indicates further investigations then proceed with angiography for cardiac evaluation and to see if there is some issue related to the coronary arteries. Perhaps you mean that there was left atrial enlargement. It can be due to uncontrolled hypertension and you need to take medications on time. Your doctor did well by adding Aspirin to the regimen as it reduces the risk for blood clot formation inside the enlarged chamber of heart. We have to keep your blood pressure in limits actually. And if that is fine, then no medications needed until unless proven otherwise after cardiac monitoring with time and some advanced tests as discussed below.

Do echocardiography, exercise tolerance test and angiography.

Treatment plan can be decided based on further tests done as advised above.

Revert back with the investigation reports to a cardiologist online.