Angina should differentiate from myocardial infarction. 

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Pain in the heart often occur in acute pericarditis vypotnom, aortalgii, paramediastinalnom acute pleurisy, with intercostal neuralgia, myositis, etc. 

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One option is a syndrome of Prinzmetal angina.

 This set of angioedema symptoms develop mainly in patients with stenosing atherosclerosis of coronary arteries. May occur in patients with little change coronary arteries.

Prinzmetal's syndrome have pain typical of angina localization and irradiation, but there are often alone and have a high intensity, flowing type of heavy angina crisis. Pain lasts from 5 to 30 minutes. Nitroglycerin must be taken repeatedly. After receiving his pain disappear immediately, but within 1-5 minutes. 

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At the same time in 20-30% of the cases observed cardiac arrhythmias. The patient feels a sense of fear, restless, covered with profuse sweat. Appears short of breath. Sometimes nausea and vomiting. Heart tones have become deaf, arrhythmic pulse. Blood pressure tends to increase.

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