A 30-year-old woman complains of intermittent chest pain over the past month. The pain is not related to exertion and she denies shortness of breath or palpitations. Her vital signs are within normal limits.
While this patient's chest pain is atypical for angina given her age and the characteristics of the pain, it could still potentially be due to a cardiac cause. Other possibilities include gastroesophageal reflux disease (GERD), a musculoskeletal cause, or even anxiety. More information is needed, including a detailed history of the pain, a physical exam, possibly an EKG, and other tests based on the findings.