Was my client who started having chest pains and shortness of breath the day of her tri-annual checkup with her cardiologist, experiencing a stress triggered trauma memory mediated largely by cellular memory, or the deep subconscious, or both?

Both levels of the mind were involved, and this is typically the case with such body metaphors where negativity from trauma is harbored and sequestered as a link to the memory of the experience, and what is present in the akashic records along with the energetic signature it represents, the latter being referenced by the Law of Karma, that may retrigger the consequences of the old drama, and use the negativity stored in the body as a consequence and a signal to the person something is wrong and needing to be done, and this will produce the array of symptoms and issues people experience as a consequence of unfinished healing. The details are less important than the overall awareness this can be a red herring in some cases that mimics a medical condition, but not truly being as dangerous, as usually happens when there is a full-blown medical malady present that might be life-threatening. On the other hand, the more old trauma is triggered and produces emotion and a recapitulation of prior symptoms, the more consciousness can realign things to even reproduce the pathology of a prior medical condition exhibited and suffered in another lifetime altogether. What this argues for is not maximum medical treatment in every instance where symptoms arise, but maximum spiritual healing as the first line of treatment, and to use the more invasive and risky medical interventions when truly warranted by the severity and risk for the person, to get a sense of what is most important in terms of the causal factors and the status of what is happening in the body and whether it is amenable to spiritual healing quickly or not. That would be our recommendation for all such situations, but this we understand would require a strong level of belief in the physicians, who would not ever agree to delaying medical intervention in the face of clear diagnostic signs pointing to a diagnosable medical condition, particularly if it is one that could be dangerous in becoming too well-entrenched through progression, or even have a fatal outcome if it is involving a key bodily function.