When chest discomfort episodes began to occur

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Question

SW, an established patient at your clinic who was last seen 11 months ago, presents to you with complaints of episodes of chest discomfort. She is a 62-year-old divorced mother of two who has been suffering from increasing chest discomfort for the past 1-2 years. At first she only noticed the discomfort when she experienced extreme exertion, such as running for the bus, and these symptoms always promptly resolved when she stopped or slowed down. She attributed this to no more than "getting old" and "being out of shape." About 6-9 months ago, she noted that the chest pain episodes had become more frequent, occurring perhaps once or twice per week and precipitated by stress, either physical (walking up and down stairs at home with the laundry) or mental (especially after a day's work at her job in a government office), but again always resolved with rest. When the chest discomfort episodes began to occur more than once per week, she was persuaded to make an appointment.

Reference no: EM133601414

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