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Conditions that may mimic Angina Pectoris Musculoskeleton pains : of the chest and back may at times confuse and create difficulty in the diagnosis of Angina. The pain of muscular origin is not totally relieved by rest and may persist even after rest. Local tenderness is present in case of pain of musculoskeletal in nature. Pericardial pain: Pain of acute pericarditis is typically in the retrosternal region and often radiates to the neck and shoulders. It may be made worse by deep breath, movement or change of posture. A friction rub known as Pericardial Rub is diagnostic, and is best heard by a stethoscope at the left of lower sternum. Oesophageal pain: Pain due to oesophagitis has a burning quality and is relieved by taking Antaacids. Oesophagial spasm pain may at times be indistinguishable from angina. |
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