Case 2

  1. 1. Question

    A 35 year old man with no risk factors for coronary heart disease or venous thromboembolism presents with central chest tightness that feels like it is preventing him from taking a deep breath in.

    What features of the clinical history would suggest a diagnosis of anxiety-related chest pain?

  2. 2. Question

    He reports all the features outlined in the answer to question one. What diagnostic tests are required to rule out organic disease in this patient before making a diagnosis of anxiety?

    Choose any you feel are required.

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  3. 3. Question

    How would you treat his chest pain?