KROK 1 Stomatology 2016 – Question 61 · KROK (Dentistry)

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

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

Consider how acute emotional stress affects coronary vascular tone, and why the pain was relieved quickly by a vasodilator.

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