KROK 1 2018 – Question 94 · KROK (Medicine) · Pathophysiology
A 59-year-old man, a business manager, developed intense burning retrosternal pain that irradiates to the left arm. The pain occurred in the evening after the tax audit. 15 minutes later the patient’s condition normalized. What mechanism of angina pectoris development is leading in this patient?
- A. Coronary artery thrombosis
- B. Functional cardiac overload
- C. Increased level of blood catecholamines
- D. Coronary atherosclerosis
- E. Intravascular aggregation of blood cells
Hint
Consider the trigger and the short, fully reversible course of the attack, and ask what mechanism could briefly upset the balance between myocardial oxygen supply and demand.
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