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ANGINA
- ONSET:
- sudden. usually in response to emotion, exertion, or extremes, in temperature
- QUALITY AND SEVERITY:
- squeezing, vise-like pain
- LOCATION AND RADIATION:
- substernal; may spread across the chest and the back, and/or down the arms
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MYOCARDIAL INFARCTION
- ONSET:
- sudden, without precipitating factors, often in early morning
- QUALITY AND SEVERITY:
- intense stabbing; vise-like pain or pressure; severe
- LOCATION AND RADIATION:
- substernal; may spread throughout anterior chest and to the arms, jaw, back, or neck
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PERICARDITIS
- QUALITY AND SEVERITY:
- sharp, stabbing, moderate to severe
- LOCATION AND RADIATION:
- substernal; usually spreads to the left side or back
-
PLEUROPULMONARY
- QUALITY AND SEVERITY:
- moderate ache; worse on inspiration
- LOCATION AND RADIATION:
- lung fields
-
ESOPHAGEAL-GASTRIC
- QUALITY AND SEVERITY:
- squeezing, heartburn; variable severity
- LOCATION AND RADIATION:
- substernal; may spread to the shoulders or abdomen
-
ANXIETY
- ONSET:
- variable; may be in response to stress or fatigue
- QUALITY AND SEVERITY:
- dull ache to sharp stabbing; may be associated with numbness in fingers
- LOCATION AND RADIATION:
- usually the Left side of chest without radiation
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