A patient has substernal chest pain that radiates to the neck. The pain lasts 5 minutes and then subsides with relaxation. What is the most likely cause of the chest pain?
A) Myocardial infarction
B) Intermittent claudication
C) Hypertension
D) Angina pectoris
D
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Classic angina pain related to angina pectoris is substernal chest pain that can radiate to the jaw. Chest pain that lasts longer than 5 minutes is not associated with angina but is associated with myocardial infarction. Hypertension is usually a condition in which the patient is pain free. Intermittent claudication is not associated with chest pain.
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