Ch 9: Chest Pain

HTN, Marfan's, and syphilis.

Vigorous exercise, primarily in men (5:1) in their 20's.

When a patient with chest pain is evaluated and has normal coronary arteries. Ischemic pain is produced by smooth muscle spasm narrowing the artery acutely rather than by thrombotic occlusion.

rest pain for 20 minutes or more that is likely to be associated with an unstable vessel occlusion and resulting hypoperfusion. Also, new-onset, effort dependent angina and a recent (within 2 months) clincially significant increase in chronic angina symptoms.