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Cardiac Causes: often from compromised coronary supply and/or a mismatch of oxygen provide and demand to cardiac tissue � Left ventricular outflow tract obstruction o Hypertrophic cardiomyopathy o Aortic stenosis o Coarctation of the aorta � Coronary artery abnormalities o Abnormal coronary origins o Sequelae of Kawasaki Disease o Slit-like coronary orifice or acute angle of take-off of the coronary artery o Myocardial bridge (muscle overlaying a part of coronary vessel) � Classic angina in sufferers with severe hyperlipidemia or a history of Kawasaki Disease � Variant angina (coronary vasospasm) after recreational drug use (cocaine, amphetamines, tub salts, marijuana, artificial cannabinoids) � Pericarditis � Myocarditis � Dilated cardiomyopathy � Tachyarrhythmias � Aortic root dissection � Ruptured sinus of Valsalva aneurysm � Pulmonary Hypertension Cardiac Chest Pain Red Flags � Patient describes chest ache that is �deep,� �crushing,� or �substernal� with radiation to the neck, shoulder or arm. 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