... of Dyspnea, decreased Chapter 013. Chest Discomfort (Part 2) Angina Pectoris (See also Chap. 237) The chest discomfort of myocardial ischemia is a visceral discomfort that is usually ... intensity rather than quality. Table 13-2 Typical Clinical Features of Major Causes of Acute Chest Discomfort Condition Duration Quality Location Associated Features ... pectoris is usually retrosternal; most patients do not localize the pain to any small area. The discomfort may radiate to the neck, jaw, teeth, arms, or shoulders, reflecting the common origin...