KROK 1 2008 – Question 74 · KROK (Medicine) · Pathophysiology
A 59 year old patient is a plant manager. After the tax inspection of his plant he felt intense pain behind his breastbone irradiating to his left arm. 15 minutes later his condition came to normal. Which of the possible mechanisms of stenocardia development is the leading in this case?
- A. Intravascular aggregation of blood corpuscles
- B. High catecholamine concentration in blood
- C. Coronary atherosclerosis
- D. Functional heart overload
- E. Coronary thrombosis
Hint
Think about what sudden emotional stress does to sympathoadrenal activity, and how this alone can raise the heart's oxygen demand or provoke coronary spasm without lasting vessel obstruction.
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