A. When a patient places their fist on the center of their chest to describe the feeling of angina
B. Exertional substernal chest pain relieved with rest
C. ST segment depression on the ECG during angina
D. Rest anginal pain in the setting of normal coronary arteries from vasospasm
The symptoms of angina can be described as a “tightness”, “discomfort, not pain”, “squeezing,” “indigestion,” “heaviness,” or an “elephant sitting on my chest”. Levine sign is when a patient places their fist in the center of their chest to describe the squeezing/tightness feeling of angina. Pain from angina is gradual in onset and must last for at least 5 minutes.