KROK 1 2009 – Question 39 · KROK (Medicine) · Pathophysiology

After a serious psycho-emotional stress a 45-year-old patient suddenly felt constricting heart pain irradiating to the left arm, neck and left scapula. His face turned pale, the cold sweat stood out on it. The pain attack was stopped with nitroglycerine. What process has developed in this patient?

  1. A. Myocardial infarction
  2. B. Stroke
  3. C. Stomach ulcer perforation
  4. D. Psychogenic shock
  5. E. Stenocardia
Hint

Think about what prompt relief with nitroglycerine suggests about whether the heart muscle is merely short of oxygen or already dead.

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