Diagnosis Title: Coronary spastic angina

Disease Specialty: Cardiology

Ease of Diagnosis: Difficult

Certainty: Certain

Ethnicity: Asian

Segment: Adult Female

Image Quality: High

Clinical Examination: Vital signs: Blood pressure: 159/96 mmHg Pulse: 63/min Respiratory rate: 20/min Temperature: 36.7°C Physical exam: Appeared acutely ill Conscious Heart and lung sounds normal Extremities cold

Patient Age: 50 years

Patient Gender: Female

Patient Socio-Economic Status: Middle class

Patient Concomitant: hypertension, variant angina, 5 pack years smoker