Report of a case with cardiac X syndrome diagnosed by echocardiography

KARAM E, KHODEIR P, ABOU NADER G. Report of a case with cardiac X syndrome diagnosed by echocardiography. Med Emergency, MJEM 2019; 27

DOI 10.26738/MJEM.2017/MJEM27.2019/EK.CRE.260918

Key words: cardiac syndrome X, coronary microvascular disease, stress echocardiogram, coronary flow reserve

  • Authors’ affiliation
  • Article history/info
  • Conflict of interest statement

Correspondent author: Elie Karam, MD

Internal Medicine Department, Middle East Institute of Health

PO Box 60-387 Bsalim, Metn, Lebanon

eliekaram90@hotmail.com

Karam E, MD1, Khodeir P, MD2, Abou Nader G, MD2

1. Internal Medicine Department, Middle East Institute of Health

2. Interventional Cardiology Department, Middle East Institute of Health

Category: case report

Received: Aug. 1, 2018

Revised: Aug. 29, 2018

Accepted: Sept 26, 2018

There is no conflict of interest to declare

ABSTRACT

Cardiac syndrome X is a term that describes the association of typical oppressive chest pain, ST segment depression during exercise, and normal coronaries on angiography. It’s attributed in most cases to change in coronary microvasculature.

As it is currently known that normal coronaries on angiography are required to diagnose cardiac syndrome X. In the following article, the first cardiac syndrome X to be diagnosed by stress echocardiogram is reported. A coronary angiography done few days later, confirmed the diagnosis.