A 29-year-old woman presents to the ED with a 3-week history of being awakened by a dull, prolonged chest pain that occurs about three or four times a week. She is a smoker but has never suffered a myocardial infarction (MI) or had chest pain before and has no family history of early MI. A 12-lead ECG is normal. Her first set of cardiac enzymes (creatine kinase, creatine kinase Mb, troponin I) is negative. If coronary angiography were taken at the time of her chest pain, which would be the most likely finding in her condition?
(A) Coronary artery spasm
(B) Greater than 80% stenosis in at least two coronary arteries
(C) No findings
(D) Plaque rupture and thrombosis
(A) Coronary artery spasm
(B) Greater than 80% stenosis in at least two coronary arteries
(C) No findings
(D) Plaque rupture and thrombosis