Which of the following most likely would be related to angina as opposed to a myocardial infarction?
1. Chest pain relieved by one sublingual nitroglycerin
2. Chest pain that radiates to the patient's back
3. Chest pain that occurred while the patient was eating breakfast
4. Chest pain accompanied by shortness of breath
Correct Answer: 1
Rationale: It is essential to recognize the difference between angina and myocardial infarction because the treatments are very different. Chest pain that is relieved by one sublingual nitroglycerin is most likely angina. Chest pain that is not relieved by nitroglycerin would most likely be from a myocardial infarction. Chest pain related to angina is often experienced when the person is doing a strenuous activity. Eating is not strenuous. Chest pain that is radiating or is accompanied by shortness of breath can be from angina or a myocardial infarction.
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