KROK 1 2019 – Question 76 · 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 atherosclerosis
- B. Increased level of blood catecholamines
- C. Coronary artery thrombosis
- D. Functional cardiac overload
- E. Intravascular aggregation of blood cells
Hint
Think about what emotional stress does to the neurohumoral control of the heart and coronary vessels, and why the pain disappeared on its own within minutes.
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