AM VaultPractice questions › Adult health: medicine › Acute coronary syndromes
Acute coronary syndromes
A practice question in the style of the AMC Part 1 MCQ exam. Choose your answer to see the explanation.
A 55-year-old man has 20 minutes of typical chest pain at rest that has now settled. ECG shows T wave inversion in V2 to V4. Serial high sensitivity troponins are normal and unchanged. What is the diagnosis?
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The answer is D: Unstable angina.
Ischaemic symptoms without ST elevation and without a troponin rise mean unstable angina. Troponin rises only when muscle dies.
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