12-09-2008, 08:39 PM
A 50-year-old man is evaluated for chronic, intermittent chest pain, unrelated to exertion. After being hospitalized 6 months ago with a suspected acute coronary syndrome for the same symptoms, a coronary catheterization showed normal coronary arteries. Subsequent testing for gastroesophageal disease was normal, and results of echocardiography and CT of the chest were unremarkable. He does not use cocaine. The patient continues to have chronic, daily, bothersome chest pain. Although he is anxious and distressed by his pain, he is not experiencing significant anxiety, stress, or episodes of overwhelming panic.
The physical examination is normal. Results of electrocardiography performed today are normal and are unchanged from his recent hospitalization.
Which of the following treatments has been shown to be helpful for this condition?
A Colchicine
B NSAIDs
C Tricyclic antidepressants
D Fluoxetine
E Tramadol
The physical examination is normal. Results of electrocardiography performed today are normal and are unchanged from his recent hospitalization.
Which of the following treatments has been shown to be helpful for this condition?
A Colchicine
B NSAIDs
C Tricyclic antidepressants
D Fluoxetine
E Tramadol