Recurrent Atypical Chest Pain in a 62-Year-Old Woman

Recurrent Atypical Chest Pain and Mild Shortness of Breath in a 62-Year-Old Woman

Clinical Case

Matthew J. Budoff, MD

Disclosures

May 09, 2022

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Case Presentation

A 62-year-old Hispanic woman with atypical chest pain and mild shortness of breath presents to a cardiologist as a new patient. She is noted to have recurring, fleeting, dull, and nonradiating pain over the central chest, lasting 5-10 minutes per episode. The episodes appear to be brought about by high-stress environments, and the patient reports being under increased stress due to family illness and concerns about COVID.

The patient has a family history of heart disease; her father died of myocardial infarction (MI) at age 53 years. Her medical history is significant for high cholesterol and hypertension

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