A 60-year-old female patient, a current smoker, taking medication for type 2 diabetes and stage 2 hypertension, with a history of weight loss of 5 kg within the previous 4 months, presented to her family physician complaining of chest discomfort, tachycardia and shortness of breath on exertion. The day before, after coming home from work (job: shop cashier), where she had been subjected to a stress situation she had a chest pain lasting for 15-30 minutes with transient episode of weakness without a loss of consciousness. Differential diagnosis based on a patient's symptoms should include:
1) left ventricular non-compaction cardiomyopathy;
2) catecholamine cardiomyopathy;
3) acute coronary syndrome;
4) acute aortic syndrome;
5) pulmonary embolism.
The correct answer is:
Dział: Interna
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