Question - redceo123

[ArchivalUser]

A 68 years old man comes to ED b/c of several hours of progressively increasing chest pain .He has Hx of hypercholesterolemia,diabetes and angina.Although previous episodes of angina were relieved by sublingual nitroglycerin ,the pt says that nitroglycerin has not helped him during the episode.ECG and biochemical tests are all normal.Which of the following is the underlying cause of these symptoms?
A.Atherosclerosis alone
B.Coronary artery embolism
C.Coronary artery spasm
D.Thrombosis with or without underlying atherosclerosis
E.Vasculitis

[ArchivalUser]

My guess is D.

[ArchivalUser]

Ans D

[ArchivalUser]

nice, yeah its D unstable angina!!

[ArchivalUser]

DD I think


@ redceo so the objective of the Q here is that unstable angina can occur even without plaque change which is plaque ulceration and thrombsis on it ?

[ArchivalUser]

yeah exactly, unstable angina can sometimes also have normal ECG it seems.