KROK 1 Stomatology 2012 – Question 92 · KROK (Dentistry)

After a serious psychoemotional stress a 48-year-old patient suddenly developed acute heart ache irradiating to the left arm. Nitroglycerine relieved pain after 10 minutes. What is the leading pathogenetic mechanism of this process development?

  1. A. Increase in myocardial oxygen consumption
  2. B. Spasm of coronary arteries
  3. C. Compression of coronary vessels
  4. D. Dilatation of peripheral vessels
  5. E. Obstruction of coronary vessels
Hint

Consider what a strong emotional stress does to the tone of coronary vessels via catecholamines, and why a vasodilator relieved the pain so quickly.

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