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Question:

Which recommendation should I follow regarding Syndrome X?

Hello, I am a 53 year old female and have been told I have syndrome x by two different doctors.  One wants me to take high blood pressure meds and the other nitro because he thinks my blood pressure will bottom out because it runs a normal low. I do not have any pain, just uncomfortable feelings in my chest, and after extreme exercise, I need to go to bed for three days. Can you help?

submitted by Barbara from Indiana on 8/28/2012

Answer:

by Texas Heart Institute cardiologist, George Younis, MD    

George Younis, MDSyndrome X refers to chest discomfort consistent with angina, but with normal coronaries [coronary arteries].  Treatment options include nitrates as well as certain medicines that are used for blood pressure, but can also cause dilation of coronary arteries, hopefully to minimize any chest discomfort.  Syndrome X is very difficult to diagnose with certainty, as there are no real established diagnostic tests to confirm its presence, although cardiac MRI may sometimes play a role. I cannot give advice in your specific case aside from saying you could try one approach, and if it doesn't work, try the other.  Both are reasonable, and sometimes a combination of both is needed.      

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Updated August 2012
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Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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