Many causes: Could still have coronary artery disease depending on the pattern although not typical. You describe a now constant pain with a normal stress test in patient with lupus- would definitely consider pericarditis (not unusual in lupus). Also can consider noncardiac etiologies- musculoskeletal cauuses such as costochondritis, or GI causes such as esophagitis, gastritis, peptic ulcer, etc.
Answered 12/6/2015
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