Question 24 · LEK · Acute coronary syndromes
A 60-year-old patient with diabetes, arterial hypertension and paroxysmal atrial fibrillation presents at the ER because of a chest pain. Laboratory tests show increased levels of cardiac troponins. The cause of his complains may be:
1) unstable angina;
2) dissecting aneurysm of the aorta;
3) atrial fibrillation with ventricular tachycardia;
4) decompensated cardiac failure;
5) pulmonary embolism;
6) NSTEMI;
7) stroke;
8) gastroesophageal reflux disease and chronic kidney disease.
The correct answer is:
2) dissecting aneurysm of the aorta;
3) atrial fibrillation with ventricular tachycardia;
4) decompensated cardiac failure;
5) pulmonary embolism;
6) NSTEMI;
7) stroke;
8) gastroesophageal reflux disease and chronic kidney disease.
The correct answer is:
- A. only 6.
- B. 2,3,6.
- C. 2,3,5,6.
- D. 2,3,5,6,8.
- E. all the above.
Hint
A troponin rise means myocardial injury, not necessarily infarction; recall which entity by definition has normal troponin.
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