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Date of last update: 10/20/2017.

Forum Name: Ischemic Heart Disease

Question: Differential diagnosis of angina pectoris

 aini eddy - Fri Feb 28, 2003 10:26 am

hi! :D
i have a case on angina pectoris (after diagnosis)..but can anyone tell me what are other diagnoses that can be made from the symptoms? :shock:

a 63 year old woman presented to the emergency room with pain in her left shoulder that radiated to the breastbone and to teh pit of her stomach. from her history, the woman has had many attacks of pain for ten years, with lengthy intervals between them. :oops:

however, the attacks have occured everyday for the past 2 weeks, forcing her to stop working. the pain is not severe and is always relieved by rest. usually she experienced left arm weakness after the attacks.

exam revealed:
shoulder joint within normal limits, range of motion free.
heart slightly enlarged, otherwise within normal limits
no elevation of cardiac enzymes

sublingual nitroglycerine resulted in pain relief. :lol:

 Dr. Yasser Mokhtar - Fri Feb 28, 2003 8:16 pm

User avatar Dear Aini,

Thank you very much for using our website.

The description of the pain of the patient although lacking some of the cardiac pain characteristics sounds more or less typical for cardiac pain secondary to coronary disease.

Site: Pain in the breast bone.
Radiation: Left shoulder.
Character: Missing.
How long does the pain last: Missing.
First time: No.
How often does it reccur: Every day during the last 2 weeks.
Severity: Not so severe.
Exacerbating factors: Work or exercise.
Relieving factor: Rest or nitroglycerin.
Associated symptoms: Missing.
Cardiac risk factors: Missing.

Differential diagnosis of cardiac pain secondary to coronary disease is the list of differential diagnosis of all causes of chest pain and it is a very long list.

Sometimes it is hard to differentiate based on the symptoms only and that's why tests are done to differentiate when it is hard to get a clinical diagnosis based on the symptoms and examination alone.

Once more, thank you very much for using our website and i hope that this information helped.

Yasser Mokhtar, M.D.

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