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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?
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.
How would you treat his chest pain?