GASTROENTEROLOGY LITERATURE REVIEW SESSION
September 13, 2001
Schwartz L, Bourassa MG. Evaluation of patients with chest pain and normal coronary angiograms. Arch Intern Med 2001;161:1825-1833
1. Syndrome X refers to:
a. people presenting with chest pain that radiates in an X pattern over the chest
b. chest pain syndrome with normal coronary arteries
c. people with heartburn
d. typical angina-type chest pain with a negative cardiac workup
e. excessive adenosine production in the myocardium is one of the proposed
theories for this syndrome for this syndrome
f. a syndrome that is more common in females
g. a syndrome which may worsen when treated with nitrates
True or False
2. Patients with documented coronary arty spasm often have esophageal spasm as well.
3. Angina due to vasospasm is atypical in that it occurs at rest and may not be triggered by exertion.
4. Chest pain produced by ergonovine is sufficient evidence of coronary artery spasm
5. Pain originating from C5 – C6 and C6 – C7 area may be referred to the anterior chest wall.
6. Certain angiographic lesions and patterns may decrease coronary blood flow yet produce an apparently normal angiographic picture.
7. In fibromyalgia, chest pain is typically associated with upper extremity exertion rather than lower extremity exertion.
8. Cardiovascular diseases that can cause cardiac chest pain despite normal coronaries include
a. valvular heart disease
b. cardiomyopathy
c. hypertension
d. hypertrophic cardiomyopathy
e. mitral valve prolapse