Syndrome X


Risk

  • True incidence unknown

  • Postmenopausal or posthysterectomy women most often at risk

  • Common cause of chest pain in women with angiographically normal coronary arteries

  • Linked to adverse cardiovascular outcomes and a poor quality of life

  • No diagnostic test

Perioperative Risks

  • Acute withdrawal of sex hormone replacement can potentially lead to symptoms.

  • Preop angina can delay procedures.

Worry About

  • Discontinuation of medications (HRT) can precipitate symptoms

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