A normal angiogram a year ago is strong reassurance - fresh blockage in 12 months in a 26-year-old is very unlikely, and your ECG and enzymes during symptoms were normal. Your cardiologist is right, more tests will most likely be normal too. Chest, neck and throat tightness like this usually comes from chest wall/muscle spasm, acid reflux or anxiety-driven hyperventilation. TMT or stress echo makes sense only if symptoms come on with exertion and settle with rest.
Next Steps
Skip repeat angio; a single 2D echo plus a trial of anti-reflux treatment and chest wall physiotherapy is enough, and note whether the tightness is triggered by walking upstairs or by stress. Sudden crushing pain with sweating or breathlessness means go to casualty at once. Bring your old reports to a consult with me on Practo and I will tell you what actually needs testing.