Chest Pain in the Setting of Acute Stress: A Tale of Two Women

Chest pain is one of the most common reasons for emergency department visits in the United States. Common etiologies of chest pain include both anxiety and myocardial infarction (MI); furthermore, anxiety and stress may contribute to the development of MI, particularly MI with non-obstructed coronar...

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Bibliographic Details
Published in:Clinical therapeutics 2024-12, Vol.46 (12), p.1005-1009
Main Authors: Mumma, Bryn E., Kim, Joseph M., Rogers, Jason H.
Format: Article
Language:English
Subjects:
Acute stress
Adult
Angioplasty
Anticoagulants
Anxiety
Atherosclerosis
Cardiac catheterization
Cardiology
Cardiomyopathy
Case reports
Chest
Chest pain
Chest Pain - diagnosis
Chest Pain - etiology
Coronary Angiography
Coronary artery
Coronary vessels
Diagnosis, Differential
Differential diagnosis
Disease
Dissection
Ejection fraction
Electrocardiography
Emergency medical care
Female
Health risks
Heart attacks
Humans
Hypertension
Intubation
Medical diagnosis
Medical imaging
Middle Aged
Myocardial infarction
Myocardial Infarction - complications
Myocardial Infarction - diagnosis
Myocardial infarction with non-obstructed coronary arteries
Pain
Spontaneous coronary artery dissection
Stress
Stress, Psychological - complications
Ultrasonic imaging
Veins & arteries
Womens health
Citations: Items that this one cites
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Description
Summary:Chest pain is one of the most common reasons for emergency department visits in the United States. Common etiologies of chest pain include both anxiety and myocardial infarction (MI); furthermore, anxiety and stress may contribute to the development of MI, particularly MI with non-obstructed coronary arteries (MINOCA). We present the cases of two women with acute chest pain in the setting of acute life stressors who were found to have MINOCA. We discuss the relationship between acute stress, chest pain, and MINOCA, as well as the importance of considering a broad differential diagnosis in women with acute chest pain.
ISSN:0149-2918
1879-114X
1879-114X
DOI:10.1016/j.clinthera.2024.10.012