Central Chest Pain and Shortness of Breath

🗒️ Question

A 60 year old man presents with central chest pain radiating to the left arm, lasting 20 minutes and resolving with rest. He reports shortness of breath during the episodes and some diaphoresis.

His past medical history includes hypertension and hyperlipidemias, for which he is on Ramipril and Simvastatin.

What is the most likely diagnosis?

(A) Aortic dissection

(B) Gastro-oesophageal reflux disease

(C) Myocardial infarction

(D) Pulmonary embolism

(E) Stable angina