This may seem a simple question that a medical student might ask on a ward round but, like all fundamental questions, the answer is much more complex. Indeed, the attending cardiologist on the ward round may respond with (a) it’s not a myocardial infarction (MI); (b) it’s missed obstructive coronary artery disease (CAD); (c) minor atherosclerotic CAD is responsible; (d) non-atherosclerotic mechanisms such as spasm are involved; or, (e) I am not certain, since we need more research! Even more disquieting is what the patient is told and the formal diagnosis included in the discharge letter, since both will have an important impact on patient care.
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© 2018 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.