title: Lesson of the month (2). Angina without 'strangling and anxiety of the breast'.
abstract: Frequently patients with coronary artery disease (CAD) present with chest pain. Anginal equivalents such as dyspnoea and fatigue, or radiation of pain to the neck, jaw and arm, are also well described. Absence of chest pain with chronic left arm and neck pain is more unusual but demonstrates the heterogeneity of presentation. CAD should be considered in those anginal equivalents in the absence of 'strangling and anxiety of the breast'.
authors.affiliation: Royal Liverpool University Hospital. robcooper@doctors.net.uk
authors.forename: Robert M
authors.initials: RM
authors.lastname: Cooper
authors.forename: Aidan F
authors.initials: AF
authors.lastname: Magrath
authors.forename: Simon
authors.initials: S
authors.lastname: Modi
authors.forename: John D
authors.initials: JD
authors.lastname: Somauroo
mesh_terms: D000787:Angina Pectoris / Q000175:diagnosis* / Q000628:therapy; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged