Findings on examination
I looked at 75 consecutive referrals to a chest pain clinic; I noted the following distinguishing features.
For angina:
Predictable on exertion.
Goes with rest.
Rarely at rest.
Same as previous proved ischaemic discomfort.
Mechanical:
Effected by movement or inspiration.
Reproduced by movement, pressure or percussion on examination.
Can last hours or days.
Located to a specific structure or nerve root distribution.
Could be severe and prolonged with normal electrocardiogram (ECG)/troponin.
The most important finding on examination was reproduction of the symptoms by using passive movements of the cervical or thorac