A 34-year-old man is being evaluated for a 3-month history of chest pain

A 34-year-old man is being evaluated for a 3-month history of chest pain He describes frequent episodes of substernal squeezingtype

chest discomfort that radiates to his neck. The episodes are not related to any particular activity, often occur at rest, and last up

to 2 hours. He has no shortness of breath , wheezing, palpitations, syncope, or leg swelling The patient does not use tobacco,

alcohol, or illicit drugs Family history is unremarkable. His blood pressure is 123/72 mm Hg, and pulse is 76/min. BMI is 32 kg/m2

.

ECG is normal. Exercise stress test shows no abnormalities. Which of the following is the most likely cause of this patient’s chest

pain?

  • QA Aortic dis ease
  • 0 B. Coronary artery disease
  • 0 C. Esophageal disease
  • 0 D. Musculoskeletal disease
  • 0 E. Pleural disease
  • 0 F Pulmonary hypertension

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