Practice Quiz

CMC Cardiac Medicine Certification

Category - CMC

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Which of the following is a characteristic feature of syndrome X?
  1. Severely abnormal angiogram and symptoms of angina
  2. Normal ECG exercise testing but abnormal findings on echocardiogram
  3. Prognosis is worst in these patients
  4. Patient presenting with typical symptoms of angina but normal angiogram
Explanation
Answer- D - Patient presenting with typical symptoms of angina but normal angiogram is a characteristic feature of syndrome X. Angiogram showing severe abnormalities is not a feature of syndrome X.
Features of syndrome X are:
•Patient has typical symptoms of angina yet has normal angiogram
•May show definite signs of ischemia during exercise testing
•Pathogenesis thought to be due to inadequate vasodilator reserve of coronary resistance vessels
•Has better prognosis than patient with overt atherosclerotic disease
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