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Medicine

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Cardiology

Question
24 out of 67
 

Which of the following can be the presentation in silent MI? (PNQ)



A Syncope
B Acute confusional state

C Oliguria
D All of the above

Ans. D

All of the above

Acute MI {Acute coronary syndrome (ACS)} (Ref. Hari 18th ed., Pg-2021)

Definitions ACS includes unstable angina and evolving MI, which share a common underlying pathology-plaque rupture, thrombosis, and inflammation.

ACS may rarely be due to emboli or coronary spasm in normal coronary arteries, or vasculitis.

Diagnosis is based on the presence of at least 2 out of 3 of (WHO criteria):

1. Typical history

2. ECG: changes

3. Cardiac enzyme rise

Symptoms

1. Acute central chest pain, lasting >20min, often associated with nausea sweating, dyspnea, palpitations. Ashen Grey Colour of the face is an important feature.

2. May present without chest pain ('silent' infarct) in elderly or diabetics Q. In such patients, presentations may include: profuse sweating, syncope, pulmonary oedema, epigastric pain and vomiting, hypotension, oliguria, acute confusional state.

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